DONNA J BACKUS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

BACKUS

Business Name

DONNA J BACKUS

Original Issue Date

08/25/1998

Effective Date

08/25/1998

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006