KRIPA-MARIAM THOMAS POOZHIKUNNEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

Title

DMD

First Name

KRIPA-MARIAM

Middle

THOMAS

Last Name

POOZHIKUNNEL

Business Name

KRIPA-MARIAM THOMAS POOZHIKUNNEL DMD

Original Issue Date

07/23/2025

Effective Date

07/23/2025

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2025