THOMAS EVAN BACKERIS DMD - Dentist License in Illinois | # 018002026

THOMAS EVAN BACKERIS DMD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002026

License Status

EXPIRED

Business

N

Title

DMD

First Name

THOMAS

Middle

EVAN

Last Name

BACKERIS

Business Name

THOMAS EVAN BACKERIS DMD

Original Issue Date

06/07/2017

Effective Date

05/17/2018

Expiration Date

06/30/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022