ADAM JAY PRUETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

ADAM

Middle

JAY

Last Name

PRUETT

Business Name

ADAM JAY PRUETT MD

Original Issue Date

02/06/2024

Effective Date

02/06/2024

Expiration Date

07/31/2026

City

MANCHESTR CTR

State

Zip

05255

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2024