MARK PETER ZMIYIWSKY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026886

License Status

NOT RENEWED

Business

First Name

MARK

Middle

PETER

Last Name

ZMIYIWSKY

Suffix

DDS

Business Name

MARK PETER ZMIYIWSKY DDS

Original Issue Date

09/21/2005

Effective Date

09/24/2009

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2012