DEBRA L PRUZAN MD (Credential# 549323) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DEBRA L PRUZAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031601. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1290 Summer Street, Stamford, CT 06905-5325. The current status is active.
| Licensee Name | DEBRA L PRUZAN MD |
| Credential ID | 549323 |
| Credential Number | 1.031601 |
| Credential Type | Physician/Surgeon |
| Business Address |
1290 Summer Street Stamford CT 06905-5325 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-05-31 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158368 | CSP.0019888 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1290 SUMMER STREET |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5325 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth R Marsh Md | 1290 Summer Street, Stamford, CT 06905 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sanjiv Lakhanpal | 1290 Summer Street, Stamford, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rand L Werbitt Md | 1290 Summer Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nora R Miller | 1290 Summer Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie B Dietz Md | 1290 Summer Street, Stamford, CT 06905-5325 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| John F Downing Jr | 1290 Summer Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca R Hall | 1290 Summer St Ste 3600, Stamford, CT 06905-5325 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Severine C Chavel Md | 1290 Summer St Ste 3600, Stamford, CT 06905-5325 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Hope Federer | Norwalk, CT 06056 | Physician/surgeon | 1984-01-03 ~ 1988-01-31 |
| Debra A Petrucci | 86 Buckfield Ln, Greenwich, CT 06831-2643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Debra Hopkins Md | Po Box 1473, Medina, TX 78055 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Debra Somers Copit | 450 Moreno Rd, Wynnewood, PA 19096-1124 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Debra Campbell Do | 15 Grey Fox Landing, Woodstock, CT 06281 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Debra Nelson | 1818 S Eastern Ave, Las Vegas, NV 89106 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
| Debra A Alspector | 2885 Sanford Ave Sw, Grandville, MI 49418-1342 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Debra J Forrest Md | 4 Adams Ln, West Hartford, CT 06117-2801 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Debra A Daunt Md | 292 Long Ridge Rd Ste 103, Stamford, CT 06902-1627 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Debra Adler-klein Md | 150 Jonathan Dr, Stamford, CT 06903-1508 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).