DENNIS MICHAEL ZIOMEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

MICHAEL

Last Name

ZIOMEK

Suffix

DDS

Business Name

DENNIS MICHAEL ZIOMEK DDS

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

09/30/2004

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005