HARRY LOUIS WALLACE DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003364

License Status

ACTIVE

Business

First Name

HARRY

Middle

LOUIS

Last Name

WALLACE

Suffix

Business Name

HARRY LOUIS WALLACE DC

Original Issue Date

09/26/1969

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/04/2023

Case Number

1996008927

Action

Refuse To Renew

Discipline Start Date

09/13/1996

Discipline End Date

10/17/1997

Discipline Reason

More than 30 days delinquent in the payment of child support.