Connecticut
Department of Consumer Protection
JODI-LYNN SULLIVAN
Controlled Substance Registration for Practitioners
License number
CSP.0054139
Date granted
01/24/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Wallkill, NY, 12589
ctlicensing.org
ID 350795
LAST UPDATED 2024-04-29 07:43:08 UTC
LAST UPDATED 2024-04-29 07:43:08 UTC
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