Connecticut
Department of Consumer Protection
DONNA TICE
Controlled Substance Registration for Practitioners
License number
CSP.0040870
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
SHELTON, CT, 06484
ctlicensing.org
ID 364151
LAST UPDATED 2026-06-13 20:15:53 UTC
LAST UPDATED 2026-06-13 20:15:53 UTC
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