Connecticut
Department of Consumer Protection
LISA MAO
Controlled Substance Registration for Practitioners
License number
CSP.0053025
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
GREENWICH, CT, 06830-4608
ctlicensing.org
ID 365607
LAST UPDATED 2026-04-18 18:41:49 UTC
LAST UPDATED 2026-04-18 18:41:49 UTC
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