PAUL H PRONOVOST MD (Credential# 215219) 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.
PAUL H PRONOVOST MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028364. 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 5 Hunting Ridge Road, Easton, CT 06612. The current status is active.
| Licensee Name | PAUL H PRONOVOST MD |
| Credential ID | 215219 |
| Credential Number | CSP.0028364 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Hunting Ridge Road Easton CT 06612 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-06-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555369 | 1.037779 | Physician/Surgeon | 1999-05-21 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 5 HUNTING RIDGE ROAD |
| City | EASTON |
| State | CT |
| Zip Code | 06612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy L Belanger | 140 Stepney Road, Easton, CT 06612 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Gwen C Easdon | 888 Sport Hill Rd, Easton, CT 06612 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Jessica Lynne Oliver | 4 Lilac Lane, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah E Grega | 412 Sport Hill Road, Easton, CT 06612 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierre H Estime Do | 45 Meadow Ridge Drive, Easton, CT 06612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Ann Liik | 1092 Black Rock Turnpike, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen Izzo · H. Roark Woodworking | 56 Burr Street, Easton, CT 06612 | Home Improvement Contractor | 2020-06-16 ~ 2020-11-30 |
| Louise Weintraub Linsky | 45 Ridgeway Road, Easton, CT 06612 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Ewa B Dembosky | 14 Crescent Drive, Easton, CT 06612 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Andrew S Nemergut | 706 North Park Avenue, Easton, CT 06612 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06612 | |||
| City | EASTON |
| Zip Code | 06612 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EASTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary T Pronovost Md | 111 Beach Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul Himelfarb | 13 Top of The Rdg, Mamaroneck, NY 10543-1734 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul D Kang | 217 Se 8th St, Ankeny, IA 50021-3538 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Paul Fox Md | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | Controlled Substance Registration for Practitioner | 2011-03-23 ~ 2013-02-28 |
| Paul Pyo | 893 Cahill Ct, Cheshire, CT 06410-3302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul H Zimmering Md | Po Box 580, Wallingford, CT 06492-0580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joan Paul | 680 Mix Ave Apt 3p, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-10-19 ~ 2011-02-28 |
| Thomas A Pronovost · T A Pronovost Remodeling | 697 Woodtick Rd, Waterbury, CT 06705 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Paul Wilson | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-09 ~ 2011-02-28 |
| Paul S Norman | 320 Main St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on PAUL H PRONOVOST 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).