ANDREW VAUGHN EVANS DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002025

License Status

EXPIRED

Business

Title

DMD

First Name

ANDREW

Middle

VAUGHN

Last Name

EVANS

Business Name

ANDREW VAUGHN EVANS DMD

Original Issue Date

06/07/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/25/2018