OMAR J BRITO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

OMAR

Middle

Last Name

BRITO

Suffix

Business Name

OMAR J BRITO MD

Original Issue Date

01/30/1996

Effective Date

01/30/1996

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006