MARK L BACKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079530

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

BACKUS

Suffix

Business Name

MARK L BACKUS MD

Original Issue Date

11/04/1989

Effective Date

11/04/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006