RONALD MATTHEW KO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030854

License Status

NOT RENEWED

Business

Title

DMD

First Name

RONALD

Middle

MATTHEW

Last Name

Business Name

RONALD MATTHEW KO DMD

Original Issue Date

07/12/2016

Effective Date

07/12/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/31/2018