Connecticut
Department of Consumer Protection
MARISSA JACKO
Controlled Substance Registration for Practitioners
License number
CSP.0053146
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06825-1930
ctlicensing.org
ID 356717
LAST UPDATED 2024-05-04 14:30:45 UTC
LAST UPDATED 2024-05-04 14:30:45 UTC
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