TODD E FUNK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926628

License Status

NOT RENEWED

Business

First Name

TODD E

Last Name

FUNK

Suffix

Business Name

TODD E FUNK OD

Original Issue Date

12/01/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005