CARL EDWARD FUNKHOUSER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

CARL EDWARD

Last Name

FUNKHOUSER

Suffix

DDS

Business Name

CARL EDWARD FUNKHOUSER DDS

Original Issue Date

01/01/1998

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024