DAVID B SPONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018783

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

SPONG

Business Name

DAVID B SPONG

Original Issue Date

08/25/1983

Effective Date

08/25/1983

Expiration Date

09/30/1992

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/12/2005