Connecticut
Department of Consumer Protection
ADA FENICK
Controlled Substance Registration for Practitioners
License number
CSP.0035256
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
New Haven, CT, 06520-8064
ctlicensing.org
ID 335654
LAST UPDATED 2024-03-30 15:05:44 UTC
LAST UPDATED 2024-03-30 15:05:44 UTC
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