Michigan
Department of Licensing and Regulation
IAN DOUGLAS BACON
Physical Therapy - Physical Therapist Assistant
License number
5502004662
Date granted
07/27/2015
Date expires
07/31/2016
Class
Physical Therapy - Physical Therapist Assistant
Status
Active
Address
michiganlicensing.org
ID 39303141
LAST UPDATED 2026-04-21 20:24:58 UTC
LAST UPDATED 2026-04-21 20:24:58 UTC
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