ETHEL SUEMURA ALFARO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

ETHEL

Middle

SUEMURA

Last Name

ALFARO

Business Name

ETHEL SUEMURA ALFARO

Original Issue Date

12/15/2024

Effective Date

12/15/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025