WESLEY CARLYLE PRUETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145180

License Status

ACTIVE

Business

Title

First Name

WESLEY

Middle

CARLYLE

Last Name

PRUETT

Business Name

WESLEY CARLYLE PRUETT MD

Original Issue Date

02/23/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

06/06/2023