BRIAN MICHAEL LOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

LOTT

Suffix

Business Name

BRIAN MICHAEL LOTT MD

Original Issue Date

02/08/2008

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020