LUIS DAVID SUMOZA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

LUIS

Middle

DAVID

Last Name

SUMOZA

Suffix

Business Name

LUIS DAVID SUMOZA MD

Original Issue Date

02/01/2012

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2025