TINA MARIE FUNK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934594

License Status

CANCELLED

Business

First Name

TINA

Middle

MARIE

Last Name

FUNK

Suffix

Business Name

TINA MARIE FUNK OD

Original Issue Date

08/26/2008

Effective Date

08/26/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010