BRIAN MICHAEL LOTT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****03

NOT RENEWED

N

BRIAN

MICHAEL

LOTT

MD

BRIAN MICHAEL LOTT MD

05/30/2000

05/30/2000

07/31/2002

PICKERINGTON

OH

43147

OHIO

II III IV V

N

04/05/2020