Connecticut
Department of Consumer Protection
JASON PREVELIGE
Controlled Substance Registration for Practitioners
License number
CSP.0046499
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06824-4138
ctlicensing.org
ID 363547
LAST UPDATED 2024-03-13 20:35:37 UTC
LAST UPDATED 2024-03-13 20:35:37 UTC
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