ROBERT S FUNK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000570

License Status

NOT RENEWED

Business

First Name

ROBERT S

Last Name

FUNK

Suffix

DDS

Business Name

ROBERT S FUNK DDS

Original Issue Date

07/10/1991

Effective Date

07/10/1991

Expiration Date

06/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005