MAXIM DZEBA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

MAXIM

Last Name

DZEBA

Business Name

MAXIM DZEBA MD

Original Issue Date

01/24/2017

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023