Connecticut
Department of Consumer Protection
JACOB HEN
Controlled Substance Registration for Practitioners
License number
CSP.0006456
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06825-1650
ctlicensing.org
ID 317803
LAST UPDATED 2024-04-24 08:57:29 UTC
LAST UPDATED 2024-04-24 08:57:29 UTC
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