JOANNA DAWN PRUZON (Credential# 1597949) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 28, 2018. The license expiration date date is December 31, 2019. The license status is INACTIVE.
JOANNA DAWN PRUZON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062208-DO. The credential type is physician/surgeon. The effective date is December 28, 2018. The expiration date is December 31, 2019. The business address is 79 Jefferson Ave, Maplewood, NJ 07040-1228. The current status is inactive.
| Licensee Name | JOANNA DAWN PRUZON |
| Credential ID | 1597949 |
| Credential Number | 1.062208-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
79 Jefferson Ave Maplewood NJ 07040-1228 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-12-28 |
| Effective Date | 2018-12-28 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| Street Address | 79 JEFFERSON AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-1228 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Fonte | 173 Indiana St, Maplewood, NJ 07040 | Architect | 2020-08-01 ~ 2021-07-31 |
| John W James IIi | 96 Jefferson Ave, Maplewood, NJ 07040 | Architect | 2020-08-01 ~ 2021-07-31 |
| Gerald H Genet Inc | 111 Dunnell Rd, Maplewood, NJ 07040 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Erika Veronica Colbert | 37 Jacoby Street, Maplewood, NJ 07040 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Catherine C Blodgett | 4 Crowell Place, Maplewood, NJ 07040 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Nanci Buscemi | 90 Oakland Road, Maplewood, NJ 07040 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Tri State Leaf Filter LLC | 40 Dunnell Rd, Maplewood, NJ 07040 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Food of Our Own Design · Quickel Inc | 1988 Springfield, Maplewood, NJ 07040 | Bakery | 2007-07-01 ~ 2008-06-30 |
| Bethany A Joseph | 7 Wellesley Road, Maplewood, NJ 07040 | Master's Level Social Worker | 2017-05-01 ~ 2018-04-30 |
| John Hassler | 5 Girard Pl., Maplewood, NJ 07040 | Crane Operator | 1998-03-14 ~ 2000-03-13 |
| Find all Licenses in zip 07040 | |||
| City | MAPLEWOOD |
| Zip Code | 07040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MAPLEWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanna M Cain | 119 Belmont St, Worcester, MA 01605 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Joanna Bartholomew | 18 Donahue Lane, Manchester, CT 06042 | Physician/surgeon | ~ |
| Joanna E Vincent Md | 100 Gillies Road, Hamden, CT 06517 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Mary Joanna Mcintyre | 648 Saddlebrook Dr, Boardman, OH 44512-4781 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Joanna M Preibisz | 12 Brown Drive, Andover, CT 06232 | Physician/surgeon | 2001-07-18 ~ 2002-06-30 |
| Joanna E Sampson Md | 299 Carew Street, Springfield, MA 01104 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Joanna Jacunski Conte | 40 Traveler St Apt 705, Boston, MA 02118-2986 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Joanna E Janas-kaminsky | 31 Overbrook Place, Ontario, M3H4P1 | Physician/surgeon | 1998-11-16 ~ 2000-01-31 |
| Joanna A. Gibson | 1087 Racebrook Road, Woodbridge, CT 06525 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Joanna Cichon Md | 56 Holy Family Road, Holyoke, MA 01640 | Physician/surgeon | 2001-06-25 ~ 2002-08-31 |
Please comment or provide details below to improve the information on JOANNA DAWN PRUZON.
| 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).