MARY ANN WINES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

WINES

Suffix

DDS

Business Name

MARY ANN WINES DDS

Original Issue Date

10/14/1982

Effective Date

08/23/2012

Expiration Date

09/30/2015

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016