Connecticut
Department of Consumer Protection
JAYME CLARK
Controlled Substance Registration for Practitioners
License number
CSP.0051767
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
South Windsor, CT, 06074
ctlicensing.org
ID 366794
LAST UPDATED 2024-05-06 20:36:32 UTC
LAST UPDATED 2024-05-06 20:36:32 UTC
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