Connecticut
Department of Consumer Protection
DEVAN LAX
Controlled Substance Registration for Practitioners
License number
CSP.0045994
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MIDDLETOWN, CT, 06457-3764
ctlicensing.org
ID 354779
LAST UPDATED 2026-05-09 23:55:37 UTC
LAST UPDATED 2026-05-09 23:55:37 UTC
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