JASON WILLIAM BACK DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011193

License Status

NOT RENEWED

Business

First Name

JASON

Middle

WILLIAM

Last Name

BACK

Suffix

Business Name

JASON WILLIAM BACK DC

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/10/2011