Connecticut
Department of Consumer Protection
MICHELLE KEIZERWEERD
Controlled Substance Registration for Practitioners
License number
CSP.0048441
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BRIDGEPORT, CT, 06605-3166
ctlicensing.org
ID 348989
LAST UPDATED 2024-04-14 12:44:13 UTC
LAST UPDATED 2024-04-14 12:44:13 UTC
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