CRAIG ALAN BACKOUS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050842

License Status

CANCELLED

Business

First Name

CRAIG

Middle

ALAN

Last Name

BACKOUS

Suffix

Business Name

CRAIG ALAN BACKOUS DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/03/2007