RYAN TIMOTHY FUNK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066880

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

TIMOTHY

Last Name

FUNK

Business Name

RYAN TIMOTHY FUNK MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

11/19/2020