DERRICK D WALLERY DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008088

License Status

ACTIVE

Business

First Name

DERRICK D

Last Name

WALLERY

Suffix

Business Name

DERRICK D WALLERY DC

Original Issue Date

12/04/1996

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

02/23/2026

Case Number

2025008817

Action

Suspension

Discipline Start Date

10/27/2025

Discipline End Date

11/19/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/20/2025.