FLETCHER THOMAS OTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

FLETCHER THOMAS

Last Name

OTT

Suffix

Business Name

FLETCHER THOMAS OTT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

SALEM

State

Zip

62881

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006