Connecticut
Department of Consumer Protection
JENNIFER DIEDERICH
Controlled Substance Registration for Practitioners
License number
CSP.0020700
Date granted
03/25/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FARMINGTON, CT, 06032
ctlicensing.org
ID 314999
LAST UPDATED 2024-03-13 02:39:08 UTC
LAST UPDATED 2024-03-13 02:39:08 UTC
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