MARISSA D OMURTAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

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

BELLEVILLE

State

Zip

62226

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023