Connecticut
Department of Consumer Protection
KIT I HO
Controlled Substance Registration for Practitioners
License number
CSP.0055144
Date granted
07/02/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06510-3317
ctlicensing.org
ID 367051
LAST UPDATED 2024-03-05 16:22:05 UTC
LAST UPDATED 2024-03-05 16:22:05 UTC
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