Indiana
Professional Licensing Agency
Alton Joseph Backs
Controlled Substance Registration - Physician
License number
01016564B
Date granted
04/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH MED CENTER, Attn: Medical Staff Coordinator, 811 EAST MADISON STREET, SOUTH BEND IN 46634
indianalicensing.org
ID 5920395
LAST UPDATED 2024-02-05 23:22:28 UTC
LAST UPDATED 2024-02-05 23:22:28 UTC
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