CRAIG ALLAN VAN DONGEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

CRAIG ALLAN VAN

Last Name

DONGEN

Business Name

CRAIG ALLAN VAN DONGEN

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

CAIRO

State

Zip

62914

County

ALEXANDER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005