JONATHON DAVID BACKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156480

License Status

NOT RENEWED

Business

Title

First Name

JONATHON

Middle

DAVID

Last Name

BACKUS

Business Name

JONATHON DAVID BACKUS MD

Original Issue Date

04/07/2021

Effective Date

04/07/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023