LEILAH ELIZABETH BACKHUS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052843

License Status

CANCELLED

Business

First Name

LEILAH

Middle

ELIZABETH

Last Name

BACKHUS

Suffix

Business Name

LEILAH ELIZABETH BACKHUS MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

04/26/2007