BETSY LYNN FUNK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928077

License Status

NOT RENEWED

Business

First Name

BETSY

Middle

LYNN

Last Name

FUNK

Suffix

Business Name

BETSY LYNN FUNK OD

Original Issue Date

08/20/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005