Connecticut
Department of Consumer Protection
DANA BROCK
Controlled Substance Registration for Practitioners
License number
CSP.0055540
Date granted
07/19/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
HAMDEN, CT, 06517
ctlicensing.org
ID 363912
LAST UPDATED 2024-03-22 18:06:33 UTC
LAST UPDATED 2024-03-22 18:06:33 UTC
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