RICHARD D FUNNEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

RICHARD D

Last Name

FUNNEMAN

Suffix

Business Name

RICHARD D FUNNEMAN MD

Original Issue Date

06/08/1990

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SMITHBORO

State

Zip

62481

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023