PAUL E BERUBE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074875

License Status

INACTIVE

Business

First Name

PAUL E

Last Name

BERUBE

Suffix

Business Name

PAUL E BERUBE MD

Original Issue Date

04/17/1987

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

04/17/2008