Connecticut
Department of Consumer Protection
IRA NOVSAM
Controlled Substance Registration for Practitioners
License number
CSP.0005989
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WESTPORT, CT, 06880
ctlicensing.org
ID 346481
LAST UPDATED 2024-04-18 07:52:51 UTC
LAST UPDATED 2024-04-18 07:52:51 UTC
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