PAUL EUGENE BERUBE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000204

License Status

NOT RENEWED

Business

First Name

PAUL EUGENE

Last Name

BERUBE

Business Name

PAUL EUGENE BERUBE

Original Issue Date

03/04/1980

Effective Date

03/04/1980

Expiration Date

03/04/1984

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006