Connecticut
Department of Consumer Protection
A ALLAM
Controlled Substance Registration for Practitioners
License number
CSP.0002935
Date granted
03/22/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FARMINGTON, CT, 06034-0388
ctlicensing.org
ID 311343
LAST UPDATED 2024-04-27 22:21:24 UTC
LAST UPDATED 2024-04-27 22:21:24 UTC
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