Connecticut
Department of Consumer Protection
LISA BOULE'
Controlled Substance Registration for Practitioners
License number
CSP.0053902
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
SOUTH SALEM, NY, 10590-2501
ctlicensing.org
ID 373394
LAST UPDATED 2024-03-30 17:16:58 UTC
LAST UPDATED 2024-03-30 17:16:58 UTC
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