ANDREW DANIEL SUMARSONO MD - Medical Doctor License in Texas | # 036168294

ANDREW DANIEL SUMARSONO MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168294

License Status

ACTIVE

Business

N

Title

MD

First Name

ANDREW

Middle

DANIEL

Last Name

SUMARSONO

Business Name

ANDREW DANIEL SUMARSONO MD

Original Issue Date

01/17/2024

Effective Date

01/17/2024

Expiration Date

07/31/2026

State

TX

Ever Disciplined

N

LastModifiedDate

09/24/2025