DEAN W FUNK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

DEAN W

Last Name

FUNK

Suffix

Business Name

DEAN W FUNK MD

Original Issue Date

10/02/1985

Effective Date

10/02/1985

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006