SUSMITHA CHINNU EDUKUTHARAYIL DMD - Dentist License in Illinois | # 019034388

SUSMITHA CHINNU EDUKUTHARAYIL DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034388

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

SUSMITHA

Middle

CHINNU

Last Name

EDUKUTHARAYIL

Business Name

SUSMITHA CHINNU EDUKUTHARAYIL DMD

Original Issue Date

06/13/2023

Effective Date

06/13/2023

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025