SIDNEY ALAN FUNK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127421

License Status

NOT RENEWED

Business

Title

First Name

SIDNEY

Middle

ALAN

Last Name

FUNK

Business Name

SIDNEY ALAN FUNK MD

Original Issue Date

03/29/2011

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

ATLANTA

State

Zip

30327

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017