THOMAS EVAN BACKERIS DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002026

License Status

EXPIRED

Business

Title

DMD

First Name

THOMAS

Middle

EVAN

Last Name

BACKERIS

Business Name

THOMAS EVAN BACKERIS DMD

Original Issue Date

06/07/2017

Effective Date

05/17/2018

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022