BRIAN ROSS STOTTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

ROSS

Last Name

STOTTER

Business Name

BRIAN ROSS STOTTER MD

Original Issue Date

10/15/2020

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023