THOMAS EVAN BACKERIS DMD - Dentist License in Illinois | # 019032441

THOMAS EVAN BACKERIS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032441

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

THOMAS

Middle

EVAN

Last Name

BACKERIS

Business Name

THOMAS EVAN BACKERIS DMD

Original Issue Date

11/18/2019

Effective Date

11/18/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022