LUIS PERALTA - Dentist License in Illinois | # 021003139

LUIS PERALTA

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003139

License Status

ACTIVE

Business

N

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

State

IL

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

N

LastModifiedDate

05/01/2024