GERALD LEON WINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013232

License Status

NOT RENEWED

Business

First Name

GERALD LEON

Last Name

WINE

Suffix

DDS

Business Name

GERALD LEON WINE DDS

Original Issue Date

07/20/1967

Effective Date

02/08/2022

Expiration Date

09/30/2024

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025