PAUL ETHAN WINE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026138

License Status

ACTIVE

Business

First Name

PAUL

Middle

ETHAN

Last Name

WINE

Suffix

DDS

Business Name

PAUL ETHAN WINE DDS

Original Issue Date

06/16/2003

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2024