Indiana
Professional Licensing Agency
George Philip Backer
Controlled Substance Registration - Physician
License number
01016173B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
301 WILLOWBEND DRIVE, LAPORTE IN 46350
indianalicensing.org
ID 5877967
LAST UPDATED 2024-02-17 20:07:53 UTC
LAST UPDATED 2024-02-17 20:07:53 UTC
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