Connecticut
Department of Consumer Protection
SUNI JACOB
Controlled Substance Registration for Practitioners
License number
CSP.0038359
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
PROSPECT, CT, 06712
ctlicensing.org
ID 323310
LAST UPDATED 2024-03-07 02:16:57 UTC
LAST UPDATED 2024-03-07 02:16:57 UTC
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