THOMAS EVAN BACKERIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032441

License Status

NOT RENEWED

Business

Title

DMD

First Name

THOMAS

Middle

EVAN

Last Name

BACKERIS

Business Name

THOMAS EVAN BACKERIS DMD

Original Issue Date

11/18/2019

Effective Date

11/18/2019

Expiration Date

01/31/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022