Connecticut
Department of Consumer Protection
KHANITHA TANGNAVARAD
Controlled Substance Registration for Practitioners
License number
CSP.0023033
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
STAMFORD, CT, 06902
ctlicensing.org
ID 320053
LAST UPDATED 2024-04-03 17:00:01 UTC
LAST UPDATED 2024-04-03 17:00:01 UTC
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