BLAKE D PRESCOTT is a Connecticut INDIVIDUAL with a lincese. The license credential category is Physician/Surgeon. The current license status is INACTIVE. The registered address is 1022 STORRS RD, STORRS, CT, 06268.
| Credential ID | 539862 |
| Credential Code | 1.010985 |
| Category | Physician/Surgeon |
| License Type | INDIVIDUAL |
| License Number | 10985 |
| Status | INACTIVE |
| Status Reason | LAPSED DUE TO NON-RENEWAL |
| License Issue Date | 1962-07-11 |
| License Effective Date | 1992-10-23 |
| License Expiration Date | 1993-11-30 |
| Name | Type | Address |
|---|---|---|
| CRAIG D SWEENEY MD | Physician/Surgeon | STORRS, 06268, CT |
| ORLAND E DONALD | Physician/Surgeon | STORRS, 06268, CT |
| FRANCIS SIRACUSA | Physician/Surgeon | storrs, 06268, CT |
| DANIEL D CARRERO | Physician/Surgeon | STORRS, 062681815, CT |
| JOSEPH W KOZACHEK | Physician/Surgeon | STORRS, 06268, CT |
| NEIL MOYNIHAN MD | Physician/Surgeon | STORRS, 062682220, CT |
| MATTHEW L HALL | Physician/Surgeon | STORRS, 06268, CT |
| VANESSA ROSE GREEN | Physician/Surgeon | Storrs, 06268, CT |
| JACQUELINE M RUSSELL | Physician/Surgeon | STORRS MANSFIELD, 062682215, CT |
| GREGORY L SHANGOLD | Physician/Surgeon | STORRS, 06268, CT |
| JUDE GERMAINE | Physician/Surgeon | Storrs, 06268, CT |
| G LUCILLE RUCKER MD | Physician/Surgeon | STORRS, 06268, CT |
| JAMES J MCGENNIS | Physician/Surgeon | STORRS, 06268, CT |
| BLAKE D PRESCOTT | Physician/Surgeon | STORRS, 06268, CT |
| JOHN W PATTERSON | Physician/Surgeon | STORRS, 06268, CT |
| MARGARETT PATTERSON | Physician/Surgeon | STORRS, 06268, CT |
| EDWARD P WANDERSEE MD | Physician/Surgeon | STORRS, 06268, CT |
| JOSEPH D MCLAUGHLIN | Physician/Surgeon | STORRS, 06268, CT |
| MARVIN C EHRLICH | Physician/Surgeon | STORRS, 06268, CT |
| JOHN A DUERS MD | Physician/Surgeon | STORRS, 06268, CT |
| MICHAEL S SHORE MD | Physician/Surgeon | STORRS, 06268, CT |
| DOUGLAS M WHITTEMORE | Physician/Surgeon | Storrs, 06268, CT |
| HERBERT W RIDYARD JR | Physician/Surgeon | STORRS MANSFIELD, 062682573, CT |
| BRUCE H DICK | Physician/Surgeon | STORRS, 06268, CT |
| NANCY L WANG MD | Physician/Surgeon | STORRS, 06268, CT |
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