GERALD DAVID FUNK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

GERALD DAVID

Last Name

FUNK

Suffix

DDS

Business Name

GERALD DAVID FUNK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

FOX LAKE

State

Zip

60020

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005