License holder summary

KELLY DODGE is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for KELLY DODGE is MILFORD, CT, 06460-4825. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

KELLY DODGE
Controlled Substance Registration for Practitioners
License number
CSP.0035812
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MILFORD, CT, 06460-4825
ctlicensing.org
ID 346610
LAST UPDATED 2024-03-29 23:04:18 UTC

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