ANNE MARIE PRABULOS (Credential# 552170) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ANNE MARIE PRABULOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034574. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 43 Wyngate Ln, Simsbury, CT 06070-1020. The current status is active.
| Licensee Name | ANNE MARIE PRABULOS |
| Credential ID | 552170 |
| Credential Number | 1.034574 |
| Credential Type | Physician/Surgeon |
| Business Address |
43 Wyngate Ln Simsbury CT 06070-1020 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-06-16 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161377 | CSP.0023381 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 43 WYNGATE LN |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070-1020 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peacock Patch & Seal LLC | 21 Wyngate Ln, Simsbury, CT 06070-1020 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Anne Marie Guyot | 10420 Little Patuxent Parkway, Columbia, MD 21044 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anne-marie Satkowsky | 21 Lindencrest Drive, Danbury, CT 06811 | Certified Public Accountant Firm Permit | 1993-01-21 ~ 1993-12-31 |
| Anne Marie's Goodies | 187 Ferry Blvd, Stamford, CT | Bakery | 2004-10-06 ~ 2005-06-30 |
| Anne Marie Legrand | 24 Beaver Dam Way, Dennis, MA 02660 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Anne S Davidson | Randolph, NJ 07869-1243 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Anne M Ferris | 62 Rockledge Rd #1a, Hartsdale, NY 10530 | Physician/surgeon | 2000-03-06 ~ 2000-09-30 |
| Anne M Weisensee | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Anne M Weber | 17 Trumbull St, Manchester, CT 06040 | Physician/surgeon | 1992-02-24 ~ 1993-02-28 |
| Anne L Lally Md | 505 Willard Ave, Newington, CT 06111-2650 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on ANNE MARIE PRABULOS.
| 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).