Connecticut
Department of Consumer Protection
KELLY DEFOREST
Controlled Substance Registration for Practitioners
License number
CSP.0036896
Date granted
03/10/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
COLUMBIA, CT, 06237
ctlicensing.org
ID 335926
LAST UPDATED 2024-04-12 14:33:32 UTC
LAST UPDATED 2024-04-12 14:33:32 UTC
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