SUSMITHA CHINNU EDUKUTHARAYIL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

Title

DMD

First Name

SUSMITHA

Middle

CHINNU

Last Name

EDUKUTHARAYIL

Business Name

SUSMITHA CHINNU EDUKUTHARAYIL DMD

Original Issue Date

09/30/2023

Effective Date

09/30/2023

Expiration Date

09/30/2024

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025