EDWARD BACKUS KINPORTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025602

License Status

NOT RENEWED

Business

First Name

EDWARD BACKUS

Last Name

KINPORTS

Suffix

Business Name

EDWARD BACKUS KINPORTS MD

Original Issue Date

08/16/1943

Effective Date

08/16/1943

Expiration Date

07/31/1996

City

KANSAS CITY

State

Zip

64108

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006