DEAN W FUNK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017527

License Status

EXPIRED

Business

First Name

DEAN W

Last Name

FUNK

Suffix

Business Name

DEAN W FUNK MD

Original Issue Date

07/17/1984

Effective Date

07/17/1984

Expiration Date

07/01/1986

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006