Connecticut
Department of Consumer Protection
MAMTA SHAH
Controlled Substance Registration for Practitioners
License number
CSP.0050723
Date granted
03/11/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FARMINGTON, CT, 06030-0001
ctlicensing.org
ID 373122
LAST UPDATED 2026-05-29 01:04:05 UTC
LAST UPDATED 2026-05-29 01:04:05 UTC
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