DONNA J BACKUS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098870

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

BACKUS

Business Name

DONNA J BACKUS

Original Issue Date

08/24/1998

Effective Date

08/24/1998

Expiration Date

07/31/1999

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006