SHOUVIK PONNUSAMY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030726

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHOUVIK

Last Name

PONNUSAMY

Business Name

SHOUVIK PONNUSAMY DMD

Original Issue Date

06/16/2016

Effective Date

12/21/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2025