KHALID MOSTAFA SONBOL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****10

NOT RENEWED

N

MD

KHALID

MOSTAFA

SONBOL

KHALID MOSTAFA SONBOL MD

08/04/2016

06/29/2020

07/31/2023

CARBONDALE

IL

62901

JACKSON

PRACTITIONER

II III IV V

N

11/30/2023