BRUCE CLEAVELAND BACON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040402

License Status

INACTIVE

Business

First Name

BRUCE CLEAVELAND

Last Name

BACON

Suffix

Business Name

BRUCE CLEAVELAND BACON MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

Expiration Date

07/31/1993

City

FT MYERS

State

Zip

33901

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006