CASSANDRA PRUITT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162782

License Status

ACTIVE

Business

Title

First Name

CASSANDRA

Last Name

PRUITT

Business Name

CASSANDRA PRUITT MD

Original Issue Date

11/01/2022

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/16/2023