KENNETH SCOTT BACKMAN MD - Medical Doctor License in Illinois | # 125026628

KENNETH SCOTT BACKMAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026628

License Status

EXPIRED

Business

N

First Name

KENNETH SCOTT

Last Name

BACKMAN

Suffix

MD

Business Name

KENNETH SCOTT BACKMAN MD

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

06/22/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006