DOMINIQUE G PRUD'HOMME (Credential# 552564) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 5, 1998. The license expiration date date is October 31, 1999. The license status is INACTIVE.
DOMINIQUE G PRUD'HOMME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034969. The credential type is physician/surgeon. The effective date is October 5, 1998. The expiration date is October 31, 1999. The business address is 920 Som Center Rd, Mayfield Village, OH 44743. The current status is inactive.
| Licensee Name | DOMINIQUE G PRUD'HOMME |
| Credential ID | 552564 |
| Credential Number | 1.034969 |
| Credential Type | Physician/Surgeon |
| Business Address |
920 Som Center Rd Mayfield Village OH 44743 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-11-24 |
| Effective Date | 1998-10-05 |
| Expiration Date | 1999-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 920 SOM CENTER RD |
| City | MAYFIELD VILLAGE |
| State | OH |
| Zip Code | 44743 |
| City | MAYFIELD VILLAGE |
| Zip Code | 44743 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MAYFIELD VILLAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Glenn M Prud'homme | 11 Winthrop Road, Bethel, CT 06801 | Emergency Medical Technician | ~ 1998-01-01 |
| Marie Guilene Prud'homme | 195 Eaton Street, Bridgeport, CT 06605 | Registered Nurse | 2010-10-01 ~ 2011-09-30 |
| Sudha M Desai | 2938 Dominique Dr, Galveston, TX 77551 | Physician/surgeon | 1993-07-23 ~ 1994-08-31 |
| El Bon Homme | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-05-09 ~ 2021-05-08 |
| Vincent Caille Muscadet Le Fay D'homme | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-05-14 ~ 2015-05-13 |
| Gina F Lidestri Pa | 4 Dominique Ln, Simsbury, CT 06070-1623 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Dominique Dorsainvil | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-06-24 ~ 2021-06-30 |
| Dominique P Harper | 31 Harvest Hill Dr, Trumbull, CT 06611-3939 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Dominique's Biscotti | 1397 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2005-02-18 ~ 2005-06-30 |
| Chateau De Maligny Chablis Premier Cru L'homme Mort | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-06-27 ~ 2015-06-26 |
Please comment or provide details below to improve the information on DOMINIQUE G PRUD'HOMME.
| 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).