Connecticut
Department of Consumer Protection
COREY JAQUEZ
Controlled Substance Registration for Practitioners
License number
CSP.0043177
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WEST HARTFORD, CT, 06119-1853
ctlicensing.org
ID 325500
LAST UPDATED 2026-05-05 01:00:30 UTC
LAST UPDATED 2026-05-05 01:00:30 UTC
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