Connecticut
Department of Consumer Protection
PHYLLIS BEVERIDGE
Controlled Substance Registration for Practitioners
License number
CSP.0027323
Date granted
04/13/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MIDDLETOWN, CT, 06457
ctlicensing.org
ID 313179
LAST UPDATED 2024-02-25 12:21:28 UTC
LAST UPDATED 2024-02-25 12:21:28 UTC
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