MARISSA D OMURTAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148644

License Status

ACTIVE

Business

Title

First Name

MARISSA

Middle

Last Name

OMURTAG

Business Name

MARISSA D OMURTAG MD

Original Issue Date

03/19/2019

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63131

Ever Disciplined

LastModifiedDate

08/07/2023