WILLIAM PRUEITT
Resident Physician


Address: 525 Kanuga Trl, Orange, CT 06477-2658

WILLIAM PRUEITT (Credential# 1657695) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.

Business Overview

WILLIAM PRUEITT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063236-RES. The credential type is resident physician. The effective date is June 11, 2019. The expiration date is June 30, 2023. The business address is 525 Kanuga Trl, Orange, CT 06477-2658. The current status is active.

Basic Information

Licensee Name WILLIAM PRUEITT
Credential ID 1657695
Credential Number 1.063236-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 525 Kanuga Trl
Orange
CT 06477-2658
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-11
Effective Date 2019-06-11
Expiration Date 2023-06-30
Refresh Date 2019-05-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1671174 CSP.0071693 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-06-25 2019-06-25 - 2021-02-28 ACTIVE

Office Location

Street Address 525 KANUGA TRL
City ORANGE
State CT
Zip Code 06477-2658

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Rakesh H Patel Md 596 Cedar Grove, Orange, CT 06477 Physician/surgeon 2020-07-01 ~ 2021-06-30
John D Mainwaring Dds 240 Indian River Rd, Suite A7, Orange, CT 06477 Dentist 2020-08-01 ~ 2021-07-31
Hea Sun Kwak 477 Howellton Rd, Orange, CT 06477 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2021-08-31
Munsons Candy Kitchen Inc 109 Boston Post Rd, Orange, CT 06477 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Takashi Yoshikawa 151 Old Tavern Road, Orange, CT 06477 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Yam Wong 21 Country Club Close, Orange, CT 06477 Notary Public Appointment 2020-06-26 ~ 2025-06-30
Shitong Liu 519 Boston Post Rd Orange, Orange, CT 06477 Nail Technician ~
Robert A Lamparski Po B0x# 1183, Orange, CT 06477 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Rolando R Lopez 22 Tyler City Rd, Orange, CT 06477 Physician Assistant 2020-07-01 ~ 2021-06-30
Lisa Courtney 470 Locust Drive, Orange, CT 06477 Notary Public Appointment 2020-09-01 ~ 2025-08-31
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Competitor

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City ORANGE
Zip Code 06477
License Type Resident Physician
License Type + County Resident Physician + ORANGE

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Dataset Information

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).

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