PAUL EUGENE BERUBE - Physician Assistant License in Illinois | # 085000204

PAUL EUGENE BERUBE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000204

License Status

NOT RENEWED

Business

N

First Name

PAUL EUGENE

Last Name

BERUBE

Business Name

PAUL EUGENE BERUBE

Original Issue Date

03/04/1980

Effective Date

03/04/1980

Expiration Date

03/04/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006