JOHN R WINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

WINE

Suffix

Business Name

JOHN R WINE MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WOODRIDGE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006