Connecticut
Department of Consumer Protection
KELLIE PARK
Controlled Substance Registration for Practitioners
License number
CSP.0044174
Date granted
03/21/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06512-3176
ctlicensing.org
ID 358374
LAST UPDATED 2024-03-01 00:04:43 UTC
LAST UPDATED 2024-03-01 00:04:43 UTC
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