ANN WARD FUNKHOUSER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ANN

Middle

WARD

Last Name

FUNKHOUSER

Suffix

Business Name

ANN WARD FUNKHOUSER MD

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006