Connecticut
Department of Consumer Protection
TRICIA JACOBSEN
Controlled Substance Registration for Practitioners
License number
CSP.0040970
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
GROTON, CT, 06340-6226
ctlicensing.org
ID 348244
LAST UPDATED 2024-03-01 01:41:02 UTC
LAST UPDATED 2024-03-01 01:41:02 UTC
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