Connecticut
Department of Consumer Protection
MARK FALLON
Controlled Substance Registration for Practitioners
License number
CSP.0011774
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MYSTIC, CT, 06355
ctlicensing.org
ID 318583
LAST UPDATED 2024-05-11 06:38:34 UTC
LAST UPDATED 2024-05-11 06:38:34 UTC
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