BRIAN ANTHONY FEBBO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ANTHONY

Last Name

FEBBO

Business Name

BRIAN ANTHONY FEBBO MD

Original Issue Date

02/21/2019

Effective Date

02/21/2019

Expiration Date

09/30/2020

City

ALEDO

State

Zip

61231

County

MERCER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021