RONALD MATTHEW KO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018