License holder summary

JUSTIN PROVOST is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for JUSTIN PROVOST is NORWALK, CT, 06850-3737. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

JUSTIN PROVOST
Controlled Substance Registration for Practitioners
License number
CSP.0052508
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NORWALK, CT, 06850-3737
ctlicensing.org
ID 376414
LAST UPDATED 2024-03-20 13:01:43 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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