Indiana
Professional Licensing Agency
STEPHEN JOHN BACKMAN
Controlled Substance Registration-Osteopathic Physician
License number
02001216C
Date granted
01/23/1995
Date expires
06/30/1999
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH/ E R, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802909
LAST UPDATED 2024-02-19 17:55:34 UTC
LAST UPDATED 2024-02-19 17:55:34 UTC
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