GLEN R PETERSON DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008373

License Status

ACTIVE

Business

First Name

GLEN R

Last Name

PETERSON

Suffix

Business Name

GLEN R PETERSON DC

Original Issue Date

01/22/1998

Effective Date

05/02/2024

Expiration Date

07/31/2026

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/02/2024