KYLE D PRUETT MD (Credential# 147778) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KYLE D PRUETT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007816. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 57 Gothic St, Northampton, MA 01060-3047. The current status is active.
| Licensee Name | KYLE D PRUETT MD |
| Credential ID | 147778 |
| Credential Number | CSP.0007816 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
57 Gothic St Northampton MA 01060-3047 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541630 | 1.015783 | Physician/Surgeon | 1972-10-19 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 57 GOTHIC ST |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-3047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha H Lyon | 313 Elm St, Northampton, MA 01060 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Joanne N Corbin | 73 Barrett St., Northampton, MA 01060 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Anna C. Southam | 74 Bridge St #4, Northampton, MA 01060 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Christine Marie Grimaldi | 49 Pine Brook Curve, Northampton, MA 01060 | Occupational Therapist | 2020-05-21 ~ 2021-07-31 |
| Ali Haider | 51 Phillips Place, Northampton, MA 01060 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul W Harrigan | 63 Center Street, Northampton, MA 01060 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Barbara A Maronn | 243 King Street, Ste 107, Northampton, MA 01060 | Tax Preparer/facilitator Permit | 2020-03-10 ~ 2022-03-31 |
| Carol Karney | 37 Fair Street, Northampton, MA 01060 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Jason Doyon | 9 1/2 Market Street, Northampton, MA 01060 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Deevia Chandrakant Patel | 111 Prospect Street, Northampton, MA 01060 | Physician/surgeon | 2020-02-07 ~ 2020-10-31 |
| Find all Licenses in zip 01060 | |||
| City | NORTHAMPTON |
| Zip Code | 01060 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTHAMPTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher J Blanch | 180 Pruett Pl, Oakdale, CT 06370-1821 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Shiva Hejazi-pruett | 196 Crown St #504, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Katherine Sinclair Pruett | 6800 E Highway 67, Alvarado, TX 76009-6857 | Controlled Substance Registration for Practitioner | 2020-02-13 ~ 2021-02-28 |
| Kyle J Fuller | Po Box 530, Wauregan, CT 06387-0530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle A Williams | 266 Willow St # 2, New Haven, CT 06511-2426 | Controlled Substance Registration for Practitioner | 2013-06-12 ~ 2015-02-28 |
| Kyle A Aman | 106 Wooster St, New Haven, CT 06511-5719 | Controlled Substance Registration for Practitioner | 2013-06-24 ~ 2015-02-28 |
| Kyle S Ahn | 73 Little Oak Lane, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Wesley C Kyle | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle M Bonura | 106 Guinevere Rdg, Cheshire, CT 06410-1540 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle S Scholnick | 65 Railroad Ave Apt 3g, Milford, CT 06460-9211 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Please comment or provide details below to improve the information on KYLE D PRUETT MD.
| 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).