ANDREW DANIEL SUMARSONO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168294

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

DANIEL

Last Name

SUMARSONO

Business Name

ANDREW DANIEL SUMARSONO MD

Original Issue Date

01/17/2024

Effective Date

01/17/2024

Expiration Date

07/31/2026

City

RICHARDSON

State

Zip

75080

Ever Disciplined

LastModifiedDate

09/24/2025