Connecticut
Department of Consumer Protection
AMY DORVAL
Controlled Substance Registration for Practitioners
License number
CSP.0055868
Date granted
08/13/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06825-1358
ctlicensing.org
ID 361813
LAST UPDATED 2024-04-24 00:00:25 UTC
LAST UPDATED 2024-04-24 00:00:25 UTC
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