MARK A ZIEMBA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151248

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

ZIEMBA

Business Name

MARK A ZIEMBA MD

Original Issue Date

11/20/2019

Effective Date

11/20/2019

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

01/14/2021