License holder summary

Samuel J. Bacon is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Samuel J. Bacon is 7340 Crossing Place, Suite 200, Fishers IN 46038. This licensed professional license is current. The license was granted 12/09/2002 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Samuel J. Bacon
Controlled Substance Registration - Dentist
License number
12010486B
Date granted
12/09/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7340 Crossing Place, Suite 200, Fishers IN 46038
indianalicensing.org
ID 5093719
LAST UPDATED 2024-03-22 15:07:03 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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