Connecticut
Department of Consumer Protection
EDWARD PROKOP
Controlled Substance Registration for Practitioners
License number
CSP.0010364
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WOODBRIDGE, CT, 06525-2320
ctlicensing.org
ID 343686
LAST UPDATED 2024-02-23 21:38:57 UTC
LAST UPDATED 2024-02-23 21:38:57 UTC
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