Connecticut
Department of Consumer Protection
ABA OSSEO-ASAE
Controlled Substance Registration for Practitioners
License number
CSP.0055177
Date granted
07/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06511-3958
ctlicensing.org
ID 369175
LAST UPDATED 2026-03-11 08:46:04 UTC
LAST UPDATED 2026-03-11 08:46:04 UTC
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