KEVIN R FRUIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018855

License Status

INACTIVE

Business

First Name

KEVIN R

Last Name

FRUIN

Business Name

KEVIN R FRUIN

Original Issue Date

10/03/1983

Effective Date

09/21/2007

Expiration Date

09/30/2009

City

GRAND ISLAND

State

Zip

68801

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/03/2009