Connecticut
Department of Consumer Protection
KIM MAYNARD
Controlled Substance Registration for Practitioners
License number
CSP.0033363
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NORFOLK, CT, 06058-1241
ctlicensing.org
ID 374766
LAST UPDATED 2024-04-30 18:47:39 UTC
LAST UPDATED 2024-04-30 18:47:39 UTC
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