Connecticut
Department of Consumer Protection
NINO BALANCHIVADZE
Controlled Substance Registration for Practitioners
License number
CSP.0050964
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06511-4405
ctlicensing.org
ID 371825
LAST UPDATED 2024-02-29 12:23:18 UTC
LAST UPDATED 2024-02-29 12:23:18 UTC
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