PUNITA SHUKLA PONNUSAMY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030652

License Status

NOT RENEWED

Business

Title

DMD

First Name

PUNITA

Middle

SHUKLA

Last Name

PONNUSAMY

Business Name

PUNITA SHUKLA PONNUSAMY DMD

Original Issue Date

06/03/2016

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

CEDAR PARK

State

Zip

78613

Ever Disciplined

LastModifiedDate

02/04/2025