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rrfrlrz rFIJE CXECEIVED ND FILED7Tli TH EJ BOARD OF DENTIS rrfrlrz rFIJE CXECEIVED ND FILED7Tli TH EJ BOARD OF DENTIS

rrfrlrz rFIJE CXECEIVED ND FILED7Tli TH EJ BOARD OF DENTIS - PDF document

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rrfrlrz rFIJE CXECEIVED ND FILED7Tli TH EJ BOARD OF DENTIS - PPT Presentation

AIT Is oN THzs J oAy oFEREBY oRoERso THAT9911l terms and condltlons of llcensure provided in theeinstatement Order filed by the Board on July 1989 shall bend are hereby terminated except as provid ID: 847273

board wollman order dental wollman board dental order prescription matter dated jersey dentistry july facility dentist provide copies copy

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1 rrfrlrz r'FIJE C()??XECEIVE'D /ND FILED/
rrfrlrz r'FIJE C()??XECEIVE'D /ND FILED/.7/Tli TH E.J. BOARD OF DENTISTRYN .6741 - Yf cep --c-OBERT J. DEL TUFOTTORNEY GENERAL OF NEW JERSEYy: Kathy Rohreputy Attorney Generalivision of Law1207 Raymond Bouievardewark, New Jersey 07102el: (201) 648-4735TATE OF NEW JERSEYEPARTMENT OF LAW & PUBLIC SAFETYDIVISION OF CONSUMER AFFAIRSSTATE BoARD OF DENTISTRYDOCKET NO.In the Matter ofOBERT E. WOLLMAN, D.D.S.dministrative ActionMENDED REINSTATEMENT ORDERhis matter was opened to the New Jersey State Board ofentistry (eBoard') upon the filing of a letter lRequest fornrestricted Licensure* by Robert E. Wollman, D.D.S., dated April, 1991. Dr. Wollman's license to practice dentistry in thistate was revoked by Order of the Board dated July 1987. Hisicense was reinstated by Order of July 6, 1989 contingent uponompliance with certain restrictions including extensivesupervision and monitoring by the Impaired Dentists Program. Byetter dated August 2l, 1990, the Board previously removed theestriction that Dr. Wollman practice dentistry only as themployee of a New Jersey licensed dentist. The Board havingeviewed the entire record ïn this matter inciu

2 ding continuingevidence that Dr. Wollman
ding continuingevidence that Dr. Wollman has remained drug free and has compliediçn Gnu porrœorpovou ïn oII owrAvïrAoo rooommonueu xn wonnmorœonith an aftercare program, and for good cause shown; AIT Is oN THzs /J oAy oFEREBY oRoERso THAT:991,1l terms and condltlons of llcensure provided in theeinstatement Order filed by the Board on July 1989 shall bend are hereby terminated except as provided in the within Orderr. Wollman shall not prescribe controlled dangerousubstances for his personal use nor shall he possess suchubstances for his personal use except pursuant to a bona fiderescription written by a physician or dentist for good medicalr dental cause. Dr. Wollman shall be permitted to prescribeontrolled dangerous substances for patients s required inconnection with dental treatment, in accordance with theollowing terms and conditions:) Dr. Wollman shall obtainand exclustvelyhich provideemploy prescription padsriplicate copies of each prescription andhich are consecutively numhnred r.ollman shall maintain a separate such pador each dentai facility where he rendersentai servtces.r. Wollman shall provide the original ofhe prescri

3 ption to the patient e shalllace one cop
ption to the patient e shalllace one copy ln the patient's chart nde shall submit one copy of all prescriptionso the Board on a monthly basis. Dr. Woilmanhall be required to account for eachconsecutive nllmhore regardless of whether he particular prescription was voidedr not used for any purpose whatsoever.Dr. Wollman shall submit copies of theseprescriptions in consecutive ordereparated according to dental facilityo later than the fifth day of eachmonth for al1 prescriptions written inhe previous month. These shall besubmitted to Agnes Clark, ExecutïveDirector of the Board, at 1207 Raymondoulevard, 6th floor, Newark, NewJersey 07102, so that they may beeviewed and monitored by the Board.The first submisslon shall provide aomplete list of each dental facilityhere Dr. Wollman shall maintaln suchrescription pads, including the fullame of the facility, address and telephonellmher, and shall be due no later thanune 3, 1991, ror diI prescriptlonsritten in May starting on the entryate of the withïn Order.N z'V ?/ -;;. '''-?:L...,, '-'!dki'.-'--,,-. :r ' . 'kE:::t)-rt- - x- u-o v William R. Cinotti, D.D.S.Presidenttate Board of Dentistry