Connecticut
Department of Consumer Protection
LEAH WALLACE
Controlled Substance Registration for Practitioners
License number
CSP.0052205
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NIANTIC, CT, 06357-1735
ctlicensing.org
ID 375737
LAST UPDATED 2026-06-19 12:28:53 UTC
LAST UPDATED 2026-06-19 12:28:53 UTC
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