MICHAEL J PERNA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHAEL

Middle

Last Name

PERNA

Business Name

MICHAEL J PERNA DMD

Original Issue Date

08/24/2019

Effective Date

10/08/2021

Expiration Date

09/30/2024

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025