MOUTAZ K SUNBULI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

MOUTAZ

Middle

Last Name

SUNBULI

Suffix

Business Name

MOUTAZ K SUNBULI MD

Original Issue Date

10/19/1999

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023