JASON WILLIAM BACK DC - Medical Doctor License in Illinois | # 038011193

JASON WILLIAM BACK DC

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011193

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

WILLIAM

Last Name

BACK

Suffix

DC

Business Name

JASON WILLIAM BACK DC

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/10/2011