License holder summary

DAISY JACOB is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for DAISY JACOB is UNIONVILLE, CT, 06085. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

DAISY JACOB
Controlled Substance Registration for Practitioners
License number
CSP.0008656
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
UNIONVILLE, CT, 06085
ctlicensing.org
ID 333736
LAST UPDATED 2024-04-04 13:46:31 UTC

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