ALTON JOSEPH BACKS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033428

License Status

INACTIVE

Business

First Name

ALTON JOSEPH

Last Name

BACKS

Suffix

Business Name

ALTON JOSEPH BACKS MD

Original Issue Date

05/23/1955

Effective Date

05/23/1955

Expiration Date

07/31/1987

City

SOUTH BEND

State

Zip

46616

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006