Connecticut
Department of Consumer Protection
DAVID HERZOG
Controlled Substance Registration for Practitioners
License number
CSP.0041204
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
RYE, NY, 10580
ctlicensing.org
ID 353358
LAST UPDATED 2024-04-30 14:03:30 UTC
LAST UPDATED 2024-04-30 14:03:30 UTC
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