Connecticut
Department of Consumer Protection
HAVERLEY COY
Controlled Substance Registration for Practitioners
License number
CSP.0054264
Date granted
02/25/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WEST HARTFORD, CT, 06119-2205
ctlicensing.org
ID 361000
LAST UPDATED 2026-05-28 09:46:09 UTC
LAST UPDATED 2026-05-28 09:46:09 UTC
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