JAMES W BACKSTROM MD - Medical Doctor License in Pennsylvania | # 036135266

JAMES W BACKSTROM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135266

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JAMES

Middle

W

Last Name

BACKSTROM

Business Name

JAMES W BACKSTROM MD

Original Issue Date

05/05/2014

Effective Date

07/17/2017

Expiration Date

09/30/2020

State

PA

Ever Disciplined

N

LastModifiedDate

01/14/2021