Derrick F Ziemba Dmd
InactiveIllinois license 019024620
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019024620
- Status
- Inactive
- First issued
- November 26, 1997
- Expired
- September 30, 2006
- License holder
- Derrick F Ziemba Dmd
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/30/2004
Contact
Long Meadow, MA 01106
Massachusetts County