Tina Louise Bacon
ActiveMichigan license 2903001391
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2903001391
- Status
- Active
- First issued
- January 8, 1993
- Expires
- January 8, 2029
- License holder
- Tina Louise Bacon
- Entity type
- Individual
Classifications
- Dental Assistant (Dentistry) Dental