KHALID MOSTAFA SONBOL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065669

License Status

CANCELLED

Business

Title

First Name

KHALID

Middle

MOSTAFA

Last Name

SONBOL

Business Name

KHALID MOSTAFA SONBOL MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/19/2014