KEVIN MICHAEL ANDRUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000687

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

ANDRUS

Business Name

KEVIN MICHAEL ANDRUS

Original Issue Date

09/18/2006

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

LONGMONT

State

Zip

80501

County

COLORADO

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

10/31/2018