JAMES HERBERT FUNK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

JAMES HERBERT

Last Name

FUNK

Suffix

DDS

Business Name

JAMES HERBERT FUNK DDS

Original Issue Date

12/27/2004

Effective Date

12/27/2004

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006