SHOUVIK PONNUSAMY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001065

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHOUVIK

Last Name

PONNUSAMY

Business Name

SHOUVIK PONNUSAMY DMD

Original Issue Date

07/13/2020

Effective Date

12/21/2021

Expiration Date

09/30/2024

City

CEDAR PARK

State

Zip

78613

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

02/04/2025