MARK ANDREW ZIEBA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARK

Middle

ANDREW

Last Name

ZIEBA

Business Name

MARK ANDREW ZIEBA DDS

Original Issue Date

12/02/2004

Effective Date

09/21/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025