JAMES HERBERT FUNK DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****68

NOT RENEWED

N

JAMES HERBERT

FUNK

DDS

JAMES HERBERT FUNK DDS

03/30/1983

03/30/1983

09/30/1988

CRETE

IL

60417

WILL

II III IV V

N

10/13/2005