GERALD LEON WINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

GERALD LEON

Last Name

WINE

Suffix

DDS

Business Name

GERALD LEON WINE DDS

Original Issue Date

01/01/1998

Effective Date

02/08/2022

Expiration Date

09/30/2024

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025