Connecticut
Department of Consumer Protection
LOAN PHAN
Controlled Substance Registration for Practitioners
License number
CSP.0054131
Date granted
03/18/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WORCESTER, MA, 01609-1145
ctlicensing.org
ID 321937
LAST UPDATED 2024-04-16 23:36:46 UTC
LAST UPDATED 2024-04-16 23:36:46 UTC
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