GORDON J ZIOLS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

GORDON J

Last Name

ZIOLS

Business Name

GORDON J ZIOLS

Original Issue Date

08/07/2024

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

08/07/2024