SUSAN K EDUKUTHARAYIL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

SUSAN K

Last Name

EDUKUTHARAYIL

Business Name

SUSAN K EDUKUTHARAYIL

Original Issue Date

10/21/1997

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60025

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024