Connecticut
Department of Consumer Protection
EMMANUEL BAUTISTA
Controlled Substance Registration for Practitioners
License number
CSP.0012588
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEWTOWN, CT, 06470
ctlicensing.org
ID 315366
LAST UPDATED 2024-05-13 18:51:56 UTC
LAST UPDATED 2024-05-13 18:51:56 UTC
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