JAMES W BACKSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135266

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

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

City

BUTLER

State

Zip

16001

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2021