MONA WADIE GHOBRIAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MONA WADIE

Last Name

GHOBRIAL

Suffix

Business Name

MONA WADIE GHOBRIAL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011