Connecticut
Department of Consumer Protection
DEGHA FONGOD
Controlled Substance Registration for Practitioners
License number
CSP.0054563
Date granted
04/19/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WATERBURY, CT, 06706-1253
ctlicensing.org
ID 371634
LAST UPDATED 2024-04-25 07:49:06 UTC
LAST UPDATED 2024-04-25 07:49:06 UTC
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