DAVID WILLIAM PRUITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109994

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WILLIAM

Last Name

PRUITT

Suffix

Business Name

DAVID WILLIAM PRUITT MD

Original Issue Date

08/26/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CINCINNATI

State

Zip

45202

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008