WILLIAM BACON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157867

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Last Name

BACON

Business Name

WILLIAM BACON MD

Original Issue Date

07/28/2021

Effective Date

07/28/2021

Expiration Date

07/31/2023

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

11/30/2023