Connecticut
Department of Consumer Protection
JACKSON MAILLE
Controlled Substance Registration for Practitioners
License number
CSP.0026019
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WALLINGFORD, CT, 06492-4100
ctlicensing.org
ID 323447
LAST UPDATED 2026-05-05 06:09:58 UTC
LAST UPDATED 2026-05-05 06:09:58 UTC
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