KAYATHRI PONNUSAMY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035105

License Status

ACTIVE

Business

Title

DMD

First Name

KAYATHRI

Last Name

PONNUSAMY

Business Name

KAYATHRI PONNUSAMY DMD

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

05/29/2024