STACEY R FUNDERBURK Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****20

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

FUNDERBURK

Business Name

STACEY R FUNDERBURK

Original Issue Date

05/09/2018

Effective Date

11/06/2024

Expiration Date

01/31/2027

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2024