Connecticut
Department of Consumer Protection
MADONNA FASULA
Controlled Substance Registration for Practitioners
License number
CSP.0032245
Date granted
03/15/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Branford, CT, 06405
ctlicensing.org
ID 322419
LAST UPDATED 2024-03-09 21:13:48 UTC
LAST UPDATED 2024-03-09 21:13:48 UTC
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