MARTIN SUA MUSUMBI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023