ADAM JAY PRUETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162336

License Status

ACTIVE

Business

Title

First Name

ADAM

Middle

JAY

Last Name

PRUETT

Business Name

ADAM JAY PRUETT MD

Original Issue Date

09/13/2022

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

MANCHESTR CTR

State

Zip

05255

Ever Disciplined

LastModifiedDate

05/20/2023