TINA MARIE FUNK OD - Optometrist License in Illinois | # 047935710

TINA MARIE FUNK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935710

License Status

CANCELLED

Business

N

First Name

TINA

Middle

MARIE

Last Name

FUNK

Suffix

OD

Business Name

TINA MARIE FUNK OD

Original Issue Date

09/23/2009

Effective Date

09/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010