License holder summary

Andrew Jeptha Kicannon Smith is a Medical - Physician licensed to practice in Colorado. The address on file for Andrew Jeptha Kicannon Smith is 6500 Excelsior Blvd, St Louis Park, MN, 55426-5426. This licensed professional license is current. The license was granted 04/25/2006 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Andrew Jeptha Kicannon Smith
Medical - Physician
License number
44553
Date granted
04/25/2006
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
6500 Excelsior Blvd, St Louis Park, MN, 55426-5426
coloradolicensing.org
ID 27426766
LAST UPDATED 2024-03-21 23:39:06 UTC

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