PAUL ETHAN WINE DDS - Dentist License in Illinois | # 021002388

PAUL ETHAN WINE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002388

License Status

ACTIVE

Business

N

First Name

PAUL

Middle

ETHAN

Last Name

WINE

Suffix

DDS

Business Name

PAUL ETHAN WINE DDS

Original Issue Date

09/09/2010

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

N

LastModifiedDate

05/02/2024