KIRA KRISTEN FUNDERBURK - Dentist License in Illinois | # 019027815

KIRA KRISTEN FUNDERBURK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027815

License Status

NOT RENEWED

Business

N

First Name

KIRA

Middle

KRISTEN

Last Name

FUNDERBURK

Business Name

KIRA KRISTEN FUNDERBURK

Original Issue Date

09/10/2008

Effective Date

08/05/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012