KEVIN MICHAEL ANDRUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002192

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

ANDRUS

Business Name

KEVIN MICHAEL ANDRUS

Original Issue Date

08/14/2006

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

LONGMONT

State

Zip

80501

County

COLORADO

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

10/31/2018