Connecticut
Department of Consumer Protection
LACY BIRDSEYE
Controlled Substance Registration for Practitioners
License number
CSP.0051799
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06825-4304
ctlicensing.org
ID 355931
LAST UPDATED 2024-04-24 04:13:42 UTC
LAST UPDATED 2024-04-24 04:13:42 UTC
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