Connecticut
Department of Consumer Protection
LEAN KIMS
Controlled Substance Registration for Practitioners
License number
CSP.0057442
Date granted
06/20/2014
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BRONX, NY, 10466-2004
ctlicensing.org
ID 18269660
LAST UPDATED 2026-04-30 15:29:39 UTC
LAST UPDATED 2026-04-30 15:29:39 UTC
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