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.
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.
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 |
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 |
Street Address | 525 KANUGA TRL |
City | ORANGE |
State | CT |
Zip Code | 06477-2658 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 06477 |
City | ORANGE |
Zip Code | 06477 |
License Type | Resident Physician |
License Type + County | Resident Physician + ORANGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William Santiago | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Bradley William Kay | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
William Harris Pechter | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
James William Stewart | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
August William Lindmark | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Alexander William Thomas | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
William Selove | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
William Maffitt Mcdonald | 549 Orange St Apt 4, New Haven, CT 06511-3832 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
William Patrick Ackley | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
William Mclaughlin | 360 State Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).