KEVIN MICHAEL ANDRUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

ANDRUS

Business Name

KEVIN MICHAEL ANDRUS

Original Issue Date

06/13/2006

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

LONGMONT

State

Zip

80501

County

COLORADO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018