License holder summary

RENEE PROVOST is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for RENEE PROVOST is BLOOMFIELD, CT, 06002. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

RENEE PROVOST
Controlled Substance Registration for Practitioners
License number
CSP.0027986
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BLOOMFIELD, CT, 06002
ctlicensing.org
ID 343693
LAST UPDATED 2024-03-27 11:51:10 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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