BRIAN MICHAEL LOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102489

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

LOTT

Suffix

Business Name

BRIAN MICHAEL LOTT MD

Original Issue Date

05/16/2000

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PICKERINGTON

State

Zip

43147

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021