Connecticut
Department of Consumer Protection
MARISSA VAN HENNIK
Controlled Substance Registration for Practitioners
License number
CSP.0033182
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
CHESHIRE, CT, 06410-2304
ctlicensing.org
ID 311650
LAST UPDATED 2026-05-23 23:22:09 UTC
LAST UPDATED 2026-05-23 23:22:09 UTC
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