The holder whose full name is BACKES, DAVID JOSEPH,come from WICHITA KS,hold the Physician license(NO.01027724A) which status is Expired Non-Renewable.
Name | BACKES, DAVID JOSEPH |
---|---|
License Number | 01027724A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WICHITA |
State | KS |