Tracy L. Bacon, D.D.S.

Radiology - Radiation Machine Dental

Indiana  XM011149   Active

This Indiana license is held by Tracy L. Bacon, D.D.S.. The license is currently active. It was granted on 10/21/2003 and expired on 08/02/2015

LICENSE DETAILS

  • License Number: XM011149
  • Category: Radiation Machine - Dental
  • Status: Active
  • Date Granted: 10/21/2003 (over 21 years ago)
  • Expiry Date: 08/02/2015 (almost 10 years ago)

LOCATIONS

A Address

Tube # - 1A, South Bend IN 46617-3108