License Directory

Bruce Cleaveland Bacon Md

Inactive

Illinois license 036040402

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036040402
Status
Inactive
First issued
July 5, 1966
Expired
July 31, 1993
License holder
Bruce Cleaveland Bacon Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/05/1966

Contact

Ft Myers, FL 33901
Florida County