MARISA BETH BLITSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135461

License Status

ACTIVE

Business

Title

First Name

MARISA

Middle

BETH

Last Name

BLITSTEIN

Business Name

MARISA BETH BLITSTEIN MD

Original Issue Date

06/10/2014

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2023