CARRIE DANIELLE FUNKHAUSER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123954

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

DANIELLE

Last Name

FUNKHAUSER

Suffix

Business Name

CARRIE DANIELLE FUNKHAUSER MD

Original Issue Date

07/09/2009

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017