MICHAEL J BERUBE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168141

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BERUBE

Business Name

MICHAEL J BERUBE

Original Issue Date

04/25/2006

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

MINIER

State

Zip

61759

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010