Connecticut
Department of Consumer Protection
TRIS CARTA
Controlled Substance Registration for Practitioners
License number
CSP.0011376
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MANCHESTER, CT, 06040
ctlicensing.org
ID 309874
LAST UPDATED 2024-05-07 23:31:17 UTC
LAST UPDATED 2024-05-07 23:31:17 UTC
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