The holder whose full name is Backs, Alton Joseph,come from South Bend IN,hold the Physician license(NO.01016564A) which status is Expired Non-Renewable.
| Name | Backs, Alton Joseph |
|---|---|
| License Number | 01016564A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | South Bend |
| State | IN |