MATTHEW WAYNE BACKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053378

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

WAYNE

Last Name

BACKER

Suffix

Business Name

MATTHEW WAYNE BACKER MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008