LEILAH ELIZABETH BACKHUS MD - Medical Doctor License in Illinois | # 125052843

LEILAH ELIZABETH BACKHUS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052843

License Status

CANCELLED

Business

N

First Name

LEILAH

Middle

ELIZABETH

Last Name

BACKHUS

Suffix

MD

Business Name

LEILAH ELIZABETH BACKHUS MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

04/26/2007