TAYLOR G FUNK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DMD

First Name

TAYLOR

Middle

Last Name

FUNK

Business Name

TAYLOR G FUNK DMD

Original Issue Date

06/03/2019

Effective Date

06/03/2019

Expiration Date

01/31/2022

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022