Connecticut
Department of Consumer Protection
MARY LIS
Controlled Substance Registration for Practitioners
License number
CSP.0018802
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
DURHAM, CT, 06422
ctlicensing.org
ID 321549
LAST UPDATED 2024-03-15 19:23:26 UTC
LAST UPDATED 2024-03-15 19:23:26 UTC
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