ILIA ROSA SUMOZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145890

License Status

ACTIVE

Business

First Name

ILIA

Middle

ROSA

Last Name

SUMOZA

Suffix

Business Name

ILIA ROSA SUMOZA MD

Original Issue Date

04/30/2018

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

Ever Disciplined

LastModifiedDate

04/28/2023