BETSY LYNN FUNK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928265

License Status

NOT RENEWED

Business

First Name

BETSY

Middle

LYNN

Last Name

FUNK

Suffix

Business Name

BETSY LYNN FUNK OD

Original Issue Date

10/31/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005