JAMES HERBERT FUNK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

JAMES HERBERT

Last Name

FUNK

Suffix

DDS

Business Name

JAMES HERBERT FUNK DDS

Original Issue Date

12/05/1986

Effective Date

12/05/1986

Expiration Date

09/30/2006

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006