Connecticut
Department of Consumer Protection
STANFORD BRODER
Controlled Substance Registration for Practitioners
License number
CSP.0027985
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
DANBURY, CT, 06810
ctlicensing.org
ID 309820
LAST UPDATED 2024-02-16 13:29:04 UTC
LAST UPDATED 2024-02-16 13:29:04 UTC
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