MARISSA STARR LOWENTHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

STARR

Last Name

LOWENTHAL

Suffix

Business Name

MARISSA STARR LOWENTHAL MD

Original Issue Date

09/28/2007

Effective Date

03/31/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023