Connecticut
Department of Consumer Protection
GARTH BALLANTYNE
Controlled Substance Registration for Practitioners
License number
CSP.0047481
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BRANFORD, CT, 06405-5046
ctlicensing.org
ID 348551
LAST UPDATED 2024-02-26 00:08:52 UTC
LAST UPDATED 2024-02-26 00:08:52 UTC
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