JOSEPH ROBERT FUNDERBURK DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001712

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

ROBERT

Last Name

FUNDERBURK

Suffix

DDS

Business Name

JOSEPH ROBERT FUNDERBURK DDS

Original Issue Date

09/08/2008

Effective Date

07/01/2008

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

08/29/2012