Connecticut
Department of Consumer Protection
LIANE LEEDOM
Controlled Substance Registration for Practitioners
License number
CSP.0049312
Date granted
05/20/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06825-7056
ctlicensing.org
ID 327180
LAST UPDATED 2024-04-14 14:54:44 UTC
LAST UPDATED 2024-04-14 14:54:44 UTC
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