Jason Mantle Koch Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****20

Status

Inactive (Cancelled)

First issued

March 8, 2000

Expired

September 30, 2002

License holder

Jason Mantle Koch Dmd

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

03/08/2000

Other Illinois licenses under this name

• IL
  Jason Mantle Koch Dmd

  License 019025214

  Licensed Dentist (Dental)
  Inactive

  Paducah, KY

  Expired Sep 30, 2002

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