Connecticut
Department of Consumer Protection
JOSE DACOSTA
Controlled Substance Registration for Practitioners
License number
CSP.0003444
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Wethersfield, CT, 06109
ctlicensing.org
ID 313961
LAST UPDATED 2024-03-28 18:55:38 UTC
LAST UPDATED 2024-03-28 18:55:38 UTC
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