Connecticut
Department of Consumer Protection
KEITH HERNANDEZ
Controlled Substance Registration for Practitioners
License number
CSP.0036228
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Madison, CT, 06443
ctlicensing.org
ID 347065
LAST UPDATED 2024-04-08 10:34:32 UTC
LAST UPDATED 2024-04-08 10:34:32 UTC
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