CAMILA PERALTA-SUGANO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DMD

First Name

CAMILA

Last Name

PERALTA-SUGANO

Business Name

CAMILA PERALTA-SUGANO DMD

Original Issue Date

09/15/2018

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025