License holder summary

Tracy L. Bacon, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Tracy L. Bacon, D.D.S. is 906 East Washington, South Bend IN 46617-3108. This licensed professional license is current. The license was granted 10/21/2003 and expired on 08/02/2015.

Indiana

Professional Licensing Agency

Tracy L. Bacon, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901531
Date granted
10/21/2003
Date expires
08/02/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
906 East Washington, South Bend IN 46617-3108
indianalicensing.org
ID 24935815
LAST UPDATED 2024-05-13 09:44:10 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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