DONALD IRVIN FUNK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

DONALD IRVIN

FUNK

MD

DONALD IRVIN FUNK MD

01/01/1997

07/31/2002

EVANSTON

IL

60201

COOK

II III IV V

N

10/09/2006