Connecticut
Department of Consumer Protection
JENNA KIM
Controlled Substance Registration for Practitioners
License number
CSP.0057980
Date granted
07/16/2014
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06511-5640
ctlicensing.org
ID 18267177
LAST UPDATED 2024-05-02 13:32:29 UTC
LAST UPDATED 2024-05-02 13:32:29 UTC
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