DONNA J BACKUS
Temporary Medical Permit
Illinois 125034076 Expired
This Illinois license was held by DONNA J BACKUS. The license is no longer active. It was granted on 05/02/1996 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 125034076
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 05/02/1996 (almost 29 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
DES PLAINES, IL 60016