JOSEPH M PRUNER (Credential# 1330957) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JOSEPH M PRUNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055238. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 111 Evan Rd, Southington, CT 06489-4107. The current status is active.
| Licensee Name | JOSEPH M PRUNER |
| Credential ID | 1330957 |
| Credential Number | 1.055238 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Evan Rd Southington CT 06489-4107 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-05-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1159496 | CSP.0054558 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1157301 | PTN.0015137 | PHARMACY TECHNICIAN | 2013-04-05 | 2013-04-05 - 2014-03-31 | INACTIVE |
| 842872 | 70.003139 | Emergency Medical Technician | 2002-11-07 | 2003-10-02 - 2005-12-31 | INACTIVE |
| Street Address | 111 EVAN RD |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-4107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne M Davino | 75 Evan Rd, Southington, CT 06489-4107 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Conte Estate The Numb Hand Pruner | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-07-21 ~ 2013-07-20 |
| Conte Estate Numb Hand Pruner Grenache | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-03-03 ~ 2014-03-02 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| H Joseph Simon | Rt 3 Box 306, Lorena, TX 76655 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Joseph F. Skowron IIi | 16 Doubling Rd, Greenwich, CT 06830-4846 | Physician/surgeon | ~ |
| Joseph C Wu | 103 Boston St Apt A, Guilford, CT 06437-2802 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph A De Donato | Po Box 552, Salisbury, CT 06068 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joseph S Yeh Md | 333 E. 30th St. Apt. 5l, New York, NY 10016 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Joseph Rosenblatt | 33 Two Rod Hwy, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Shirley P Joseph | 252 Oak St., Lewiston, ME 04240 | Physician/surgeon | 1999-08-12 ~ 2000-08-31 |
Please comment or provide details below to improve the information on JOSEPH M PRUNER.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).