Connecticut
Department of Consumer Protection
CHARISSE MANDIMIKA
Controlled Substance Registration for Practitioners
License number
CSP.0057990
Date granted
07/17/2014
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06511-4671
ctlicensing.org
ID 18267190
LAST UPDATED 2026-04-10 16:51:25 UTC
LAST UPDATED 2026-04-10 16:51:25 UTC
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