WILLIAM MARTIN DONDANVILLE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

WILLIAM MARTIN

Last Name

DONDANVILLE

Suffix

DMD

Business Name

WILLIAM MARTIN DONDANVILLE DMD

Original Issue Date

01/01/1998

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

BRIGHTON

State

Zip

62012

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022