Jason Mantle Koch Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019025214

Status

Inactive

First issued

February 22, 2000

Expired

September 30, 2002

License holder

Jason Mantle Koch Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

02/22/2000

Other Illinois licenses under this name

• IL
  Jason Mantle Koch Dmd

  License 31*****20

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Tamms, IL

  Expired Sep 30, 2002

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