COLETTE THERESE BERUBE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063034

License Status

EXPIRED

Business

First Name

COLETTE

Middle

THERESE

Last Name

BERUBE

Suffix

Business Name

COLETTE THERESE BERUBE MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/01/2017