PAUL E BERUBE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

PAUL E

Last Name

BERUBE

Suffix

Business Name

PAUL E BERUBE MD

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/31/2008

City

CARBONDALE

State

Zip

62903

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008