Connecticut
Department of Consumer Protection
FERNANDO ILLESCAS
Controlled Substance Registration for Practitioners
License number
CSP.0019038
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
EAST HARTFORD, CT, 06108-3240
ctlicensing.org
ID 316110
LAST UPDATED 2024-05-01 00:09:27 UTC
LAST UPDATED 2024-05-01 00:09:27 UTC
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