Connecticut
Department of Consumer Protection
ALLYSON BAGENHOLM
Controlled Substance Registration for Practitioners
License number
CSP.0052134
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WELLINGTON, FL, 33414-7163
ctlicensing.org
ID 376078
LAST UPDATED 2024-02-09 17:26:27 UTC
LAST UPDATED 2024-02-09 17:26:27 UTC
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