Connecticut
Department of Consumer Protection
KERI WALLACE
Controlled Substance Registration for Practitioners
License number
CSP.0042975
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
HARTFORD, CT, 06106
ctlicensing.org
ID 320737
LAST UPDATED 2024-05-01 09:21:36 UTC
LAST UPDATED 2024-05-01 09:21:36 UTC
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