License holder summary

Gerald Ray Funderburk is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gerald Ray Funderburk is 3300 S MAIN ST SUITE D-6, ANDERSON IN 46014. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Gerald Ray Funderburk
Controlled Substance Registration - Dentist
License number
12006706B
Date granted
10/31/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3300 S MAIN ST SUITE D-6, ANDERSON IN 46014
indianalicensing.org
ID 5080676
LAST UPDATED 2024-03-24 10:11:31 UTC

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