Connecticut
Department of Consumer Protection
AVI MALKIS
Controlled Substance Registration for Practitioners
License number
CSP.0052057
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
STATEN ISLAND, NY, 10312-6538
ctlicensing.org
ID 366771
LAST UPDATED 2024-04-13 14:34:14 UTC
LAST UPDATED 2024-04-13 14:34:14 UTC
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