ILIA ROSA SUMOZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050175

License Status

EXPIRED

Business

First Name

ILIA

Middle

ROSA

Last Name

SUMOZA

Suffix

Business Name

ILIA ROSA SUMOZA MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008