BACON, MERRILL PHILIP, MD

Medical - Physician

Georgia  012420   Suspended

This Georgia license was held by BACON, MERRILL PHILIP, MD. The license is no longer active. It was granted on 07/23/1969 and expired on 07/31/2013

LICENSE DETAILS

  • License Number: 012420
  • Category: Physician
  • Status: Suspended
  • Date Granted: 07/23/1969 (almost 56 years ago)
  • Expiry Date: 07/31/2013 (almost 12 years ago)

LOCATIONS

A Address

3400 LOMA VISTA ROAD | SUITE 9, VENTURA 93003