TODD E FUNK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933686

License Status

CANCELLED

Business

First Name

TODD E

Last Name

FUNK

Suffix

Business Name

TODD E FUNK OD

Original Issue Date

01/15/2008

Effective Date

01/15/2008

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010