Connecticut
Department of Consumer Protection
KIERSTEN REVORD
Controlled Substance Registration for Practitioners
License number
CSP.0056847
Date granted
04/02/2014
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
EASTHAMPTON, MA, 01027-2620
ctlicensing.org
ID 18268139
LAST UPDATED 2024-04-22 01:20:55 UTC
LAST UPDATED 2024-04-22 01:20:55 UTC
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