MARTIN SUA MUSUMBI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132705

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

SUA

Last Name

MUSUMBI

Business Name

MARTIN SUA MUSUMBI MD

Original Issue Date

05/02/2013

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/15/2023