Connecticut
Department of Consumer Protection
IVETTE DIAZ
Controlled Substance Registration for Practitioners
License number
CSP.0024461
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BROOKFIELD, CT, 06804
ctlicensing.org
ID 317081
LAST UPDATED 2024-02-24 23:30:33 UTC
LAST UPDATED 2024-02-24 23:30:33 UTC
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