ALEXANDER N FUNK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDER

Middle

Last Name

FUNK

Business Name

ALEXANDER N FUNK DMD

Original Issue Date

07/14/2021

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024