SANDRA RENEE FUNK-BUDESELICH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009625

License Status

INACTIVE

Business

First Name

SANDRA

Middle

RENEE

Last Name

FUNK-BUDESELICH

Business Name

SANDRA RENEE FUNK-BUDESELICH

Original Issue Date

09/20/1999

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

06/04/2009