License holder summary

Mallott, Johnathan L. is a Dentist licensed to practice in Missouri. The address on file for Mallott, Johnathan L. is 3320 Bluff Creek Dr Ste 100 , Columbia 65201. This licensed professional license is current. The license was granted 06/03/2003 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Mallott, Johnathan L.
Dentist
License number
2003012136  
Date granted
06/03/2003
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
3320 Bluff Creek Dr Ste 100 
licensingmissouri.org
ID 2021294
LAST UPDATED 2024-04-10 18:40:04 UTC

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