The holder whose full name is Backer, Emily Alice,come from Kokomo IN,hold the Medical Residency Permit license(NO.11007519A) which status is Expired.
| Name | Backer, Emily Alice |
|---|---|
| License Number | 11007519A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Kokomo |
| State | IN |