BRUCE E PRUM JR
Physician/surgeon


Address: 308 Gatehouse Lane, Louisville, KY 40243-1606

BRUCE E PRUM JR (Credential# 549757) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 22, 1992. The license expiration date date is November 30, 1993. The license status is INACTIVE.

Business Overview

BRUCE E PRUM JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032122. The credential type is physician/surgeon. The effective date is December 22, 1992. The expiration date is November 30, 1993. The business address is 308 Gatehouse Lane, Louisville, KY 40243-1606. The current status is inactive.

Basic Information

Licensee Name BRUCE E PRUM JR
Credential ID 549757
Credential Number 1.032122
Credential Type Physician/Surgeon
Business Address 308 Gatehouse Lane
Louisville
KY 40243-1606
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-02-21
Effective Date 1992-12-22
Expiration Date 1993-11-30
Refresh Date 2009-07-08

Office Location

Street Address 308 GATEHOUSE LANE
City LOUISVILLE
State KY
Zip Code 40243-1606

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Lisa Michelle Hines 13004 Observation Circle, Louisville, KY 40243 Registered Nurse 2019-11-01 ~ 2020-10-31
Heather Kellogg Wall 410 Westwood Drive, Louisville, KY 40243 Registered Nurse 2018-06-08 ~ 2019-02-28
Jennifer L Pigg 1200 Autumn Sun Court, Louisville, KY 40243 Registered Nurse 2003-04-28 ~ 2004-03-31
Susan Blair 12412 Crosswinds Drive, Louisville, KY 40243 Registered Nurse 2002-10-29 ~ 2003-10-31
Jacqueline M Grady 12703 Mackinaw Dr, Louisville, KY 40243-1015 Registered Nurse 2013-11-01 ~ 2014-10-31
The Hershel Woody Williams Congressional Medal of Honor Education Foundation Inc 12123 Shelbyville Rd Ste 100, Louisville, KY 40243-1079 Public Charity 2019-12-01 ~ 2020-11-30
Megan E Olmstead 218 Middletown Sq, Louisville, KY 40243-1462 Registered Nurse 2012-07-01 ~ 2013-06-30
Sheila A Schmidt 10708 Sunderland Pl, Louisville, KY 40243-1651 Registered Nurse 2013-12-01 ~ 2014-11-30
Michael A Noltemeyer 10905 Glenbarr Ct, Louisville, KY 40243-1725 Emergency Medical Technician 2007-02-28 ~ 2009-04-01
Donna Rundel 616 Rothbury Ln, Louisville, KY 40243-1817 Registered Nurse 2012-09-01 ~ 2013-08-31
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Competitor

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City LOUISVILLE
Zip Code 40243
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LOUISVILLE

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Dataset Information

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).

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