JONATHON DAVID BACKUS MD - Medical Doctor License in Missouri | # 036156480

JONATHON DAVID BACKUS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156480

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JONATHON

Middle

DAVID

Last Name

BACKUS

Business Name

JONATHON DAVID BACKUS MD

Original Issue Date

04/07/2021

Effective Date

04/07/2021

Expiration Date

07/31/2023

State

MO

Ever Disciplined

N

LastModifiedDate

11/30/2023