COLETTE THERESE BERUBE MD - Medical Doctor License in Illinois | # 125063034

COLETTE THERESE BERUBE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063034

License Status

EXPIRED

Business

N

First Name

COLETTE

Middle

THERESE

Last Name

BERUBE

Suffix

MD

Business Name

COLETTE THERESE BERUBE MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

09/30/2017

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

11/01/2017