KATHERINE ANN BACKES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061968

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

ANN

Last Name

BACKES

Business Name

KATHERINE ANN BACKES MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

SALT LAKE CITY

State

Zip

84148

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014