Connecticut
Department of Consumer Protection
DAVID BASAK-SMITH
Controlled Substance Registration for Practitioners
License number
CSP.0025179
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MONROE, CT, 06468
ctlicensing.org
ID 309646
LAST UPDATED 2024-02-25 01:12:30 UTC
LAST UPDATED 2024-02-25 01:12:30 UTC
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