MARK D ZAAYENGA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

ZAAYENGA

Suffix

DDS

Business Name

MARK D ZAAYENGA DDS

Original Issue Date

06/05/1998

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024