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
LAST UPDATED 2024-04-04 13:46:31 UTC
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