STACEY R FUNDERBURK Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****05

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

FUNDERBURK

Business Name

STACEY R FUNDERBURK

Original Issue Date

10/15/2015

Effective Date

11/30/2022

Expiration Date

02/28/2025

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2025