GERALD DAVID FUNK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

GERALD DAVID

Last Name

FUNK

Suffix

DDS

Business Name

GERALD DAVID FUNK DDS

Original Issue Date

11/18/2002

Effective Date

11/18/2002

Expiration Date

09/30/2004

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005