MEGAN W BERUBE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147807

License Status

NOT RENEWED

Business

Title

First Name

MEGAN

Middle

Last Name

BERUBE

Business Name

MEGAN W BERUBE MD

Original Issue Date

12/05/2018

Effective Date

06/03/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/30/2023