The holder whose full name is Dencklau, Larry Scott,come from Chicago IL,hold the Osteopathic Physician license(NO.02002564A) which status is Expired Non-Renewable.
| Name | Dencklau, Larry Scott |
|---|---|
| License Number | 02002564A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Chicago |
| State | IL |