ROBERT S PREWITT (Credential# 548000) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
ROBERT S PREWITT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029779. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 2900 Main St, Stratford, CT 06614. The current status is active.
| Licensee Name | ROBERT S PREWITT |
| Credential ID | 548000 |
| Credential Number | 1.029779 |
| Credential Type | Physician/Surgeon |
| Business Address |
2900 Main St Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-03-10 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-16 |
| Street Address | 2900 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Resnick | 2900 Main St, Stratford, CT 06614 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Michael Connolly Md | 2900 Main St, Stratford, CT 06614 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert Resnick Dmd | 2900 Main St, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel Shoenthal Dmd | 2900 Main St, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Macellis K Glass | 2900 Main St, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Fred R Braun | 2900 Main St, Stratford, CT 06497 | Dentist | 2002-08-15 ~ 2003-08-31 |
| Conversion Data · Catholic Mental Health Clinic | 2900 Main St, Stratford, CT 06497 | Psychiatric Outpatient Clinic | ~ 1996-12-31 |
| James E Thurmond | 2900 Main St, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1994-10-14 ~ 1996-11-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert P Conlen | Po Box 447, Farmington, CT 06034-0447 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
| Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Robert A Margulies | Po Box 839, Richland, WA 99352 | Physician/surgeon | 2006-04-03 ~ 2007-05-31 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
Please comment or provide details below to improve the information on ROBERT S PREWITT.
| 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).