Connecticut
Department of Consumer Protection
JUSTINE MIRANDA
Controlled Substance Registration for Practitioners
License number
CSP.0055855
Date granted
08/07/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
AGAWAM, MA, 01001-2397
ctlicensing.org
ID 366295
LAST UPDATED 2026-04-04 02:09:31 UTC
LAST UPDATED 2026-04-04 02:09:31 UTC
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