GERALD LEON WINE DDS - Dentist License in Illinois | # 019013232

GERALD LEON WINE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013232

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025