Connecticut
Department of Consumer Protection
DANA FORLANO
Controlled Substance Registration for Practitioners
License number
CSP.0034902
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
ORANGE, CT, 06477
ctlicensing.org
ID 332257
LAST UPDATED 2024-04-09 03:54:58 UTC
LAST UPDATED 2024-04-09 03:54:58 UTC
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