Connecticut
Department of Consumer Protection
CARRIE VANDESTADT
Controlled Substance Registration for Practitioners
License number
CSP.0022175
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BRISTOL, CT, 06010
ctlicensing.org
ID 320077
LAST UPDATED 2024-01-15 08:53:05 UTC
LAST UPDATED 2024-01-15 08:53:05 UTC
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