ALEXANDER N FUNK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001138

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDER

Middle

Last Name

FUNK

Business Name

ALEXANDER N FUNK DMD

Original Issue Date

05/29/2024

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

04/25/2024