KEVIN MICHAEL ANDRUS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001334

License Status

EXPIRED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

ANDRUS

Business Name

KEVIN MICHAEL ANDRUS

Original Issue Date

05/24/2002

Effective Date

05/24/2002

Expiration Date

06/30/2006

City

LONGMONT

State

Zip

80501

County

COLORADO

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/27/2006