Connecticut
Department of Consumer Protection
DESTINI HOLLOWAY
Controlled Substance Registration for Practitioners
License number
CSP.0053711
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
CROMWELL, CT, 06416-2518
ctlicensing.org
ID 373972
LAST UPDATED 2024-04-20 18:22:49 UTC
LAST UPDATED 2024-04-20 18:22:49 UTC
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