GREGORY PETERSON DECLARK DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038013094

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

PETERSON

Last Name

DECLARK

Business Name

GREGORY PETERSON DECLARK DC

Original Issue Date

03/23/2017

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/13/2023