Indiana
Professional Licensing Agency
Emily Alice Backer
Controlled Substance Registration - Physician
License number
01045272B
Date granted
07/01/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3507 S Reed Road, Kokomo IN 46902
indianalicensing.org
ID 5875970
LAST UPDATED 2024-04-12 11:28:57 UTC
LAST UPDATED 2024-04-12 11:28:57 UTC
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