LUIS PERALTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

First Name

LUIS

Last Name

PERALTA

Business Name

LUIS PERALTA

Original Issue Date

01/13/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024