MARY BARBARA BACKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035726

License Status

INACTIVE

Business

First Name

MARY BARBARA

Last Name

BACKER

Suffix

Business Name

MARY BARBARA BACKER MD

Original Issue Date

04/06/1959

Effective Date

04/06/1959

Expiration Date

07/31/1993

City

LA PORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006