Connecticut
Department of Consumer Protection
BEVERLY DEGRANDCHAMP
Controlled Substance Registration for Practitioners
License number
CSP.0053007
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MERIDEN, CT, 06450-3293
ctlicensing.org
ID 362103
LAST UPDATED 2024-03-19 05:16:21 UTC
LAST UPDATED 2024-03-19 05:16:21 UTC
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