SHOUVIK PONNUSAMY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003042

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHOUVIK

Last Name

PONNUSAMY

Business Name

SHOUVIK PONNUSAMY DMD

Original Issue Date

07/01/2020

Effective Date

12/21/2021

Expiration Date

09/30/2024

City

CEDAR PARK

State

Zip

78613

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

02/04/2025