Douglas Richard Bacon

Medical - Physician And Surgeon

Minnesota  42805   Active

This Minnesota license is held by Douglas Richard Bacon. The license is currently active. It was granted on 09/09/2000 and expired on 01/31/2013

LICENSE DETAILS

  • License Number: 42805
  • Category: Physician and Surgeon
  • Status: Active
  • Date Granted: 09/09/2000 (over 23 years ago)
  • Expiry Date: 01/31/2013 (over 11 years ago)

LOCATIONS

A Licensure Designated Address

Department of Anesthesiology, Wayne State UNiversity, Pontiac, MI 48341-5031