LUIS PERALTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003139

License Status

ACTIVE

Business

First Name

LUIS

Last Name

PERALTA

Business Name

LUIS PERALTA

Original Issue Date

10/01/2021

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

LastModifiedDate

05/01/2024