Connecticut
Department of Consumer Protection
MITCHELL CLARK
Controlled Substance Registration for Practitioners
License number
CSP.0055682
Date granted
10/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
STAMFORD, CT, 06902-5880
ctlicensing.org
ID 10270404
LAST UPDATED 2024-02-06 10:04:31 UTC
LAST UPDATED 2024-02-06 10:04:31 UTC
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