BRIAN J CAPUTO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

BRIAN J

Last Name

CAPUTO

Business Name

BRIAN J CAPUTO

Original Issue Date

07/20/1995

Effective Date

07/20/1995

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006