ANDREW Q DE FUNIAK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107970

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

DE FUNIAK

Business Name

ANDREW Q DE FUNIAK

Original Issue Date

10/07/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

Ever Disciplined

LastModifiedDate

04/11/2023