JOHN R WINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059198

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

WINE

Suffix

Business Name

JOHN R WINE MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

City

OAK BROOK

State

Zip

60521

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006