Connecticut
Department of Consumer Protection
KENNETH FOMBERSTEIN
Controlled Substance Registration for Practitioners
License number
CSP.0047906
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06511-5621
ctlicensing.org
ID 362869
LAST UPDATED 2026-05-03 05:13:55 UTC
LAST UPDATED 2026-05-03 05:13:55 UTC
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