MARK L BACKUS MD - Medical Doctor License in Illinois | # 125020747

MARK L BACKUS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020747

License Status

EXPIRED

Business

N

First Name

MARK L

Last Name

BACKUS

Suffix

MD

Business Name

MARK L BACKUS MD

Original Issue Date

05/08/1987

Effective Date

05/08/1987

Expiration Date

06/25/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006