KIRA KRISTEN FUNDERBURK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027815

License Status

NOT RENEWED

Business

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

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012