SANDRA RENEE FUNK-BUDESELICH - Dentist License in Indiana | # 020009625

SANDRA RENEE FUNK-BUDESELICH

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009625

License Status

INACTIVE

Business

N

First Name

SANDRA

Middle

RENEE

Last Name

FUNK-BUDESELICH

Business Name

SANDRA RENEE FUNK-BUDESELICH

Original Issue Date

09/20/1999

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IN

Ever Disciplined

N

LastModifiedDate

06/04/2009