Indiana
Professional Licensing Agency
Tracy Lynn Bellavance
Physician
License number
01046643A
Date granted
05/22/1997
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6054204
LAST UPDATED 2024-05-15 16:03:49 UTC
LAST UPDATED 2024-05-15 16:03:49 UTC
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