Connecticut
Department of Consumer Protection
SHANNON MAXON
Controlled Substance Registration for Practitioners
License number
CSP.0032628
Date granted
03/07/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
EAST HAVEN, CT, 06512-4807
ctlicensing.org
ID 328903
LAST UPDATED 2024-03-12 18:52:01 UTC
LAST UPDATED 2024-03-12 18:52:01 UTC
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