Connecticut
Department of Consumer Protection
ANDREW BASTA
Controlled Substance Registration for Practitioners
License number
CSP.0035685
Date granted
04/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
STAMFORD, CT, 06903
ctlicensing.org
ID 346527
LAST UPDATED 2024-04-02 10:45:46 UTC
LAST UPDATED 2024-04-02 10:45:46 UTC
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