License Type:
Dentist
License Number:
2901020637
Name:
Jason Luke Mantey
License Issue Date:
05/16/2012
License Expiration Date:
05/16/2029
License Status:
Active
County:
Leelanau
City:
Traverse City
State or Province:
Michigan
ZIP or Postal Code:
49684
CS Record Number:
5315055151
CS Status:
CS Expiration Date: