Connecticut
Department of Consumer Protection
MARY PRONOVOST
Controlled Substance Registration for Practitioners
License number
CSP.0028326
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06824
ctlicensing.org
ID 343690
LAST UPDATED 2024-04-23 18:43:51 UTC
LAST UPDATED 2024-04-23 18:43:51 UTC
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