STEPHEN J BACKMAN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****74

NOT RENEWED

N

STEPHEN J

BACKMAN

DO

STEPHEN J BACKMAN DO

07/22/1988

07/22/1988

07/31/1999

CHICAGO

IL

60615

COOK

II III IV V

N

09/26/2006