Ian Douglas Bacon
ActiveMichigan license 5502004662
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5502004662
- Status
- Active
- First issued
- July 27, 2015
- Expires
- July 27, 2027
- License holder
- Ian Douglas Bacon
- Entity type
- Individual
Classifications
- Physical Therapist Assistant Therapy & Rehabilitation