Connecticut
Department of Consumer Protection
MAX KERNIZAN
Controlled Substance Registration for Practitioners
License number
CSP.0055032
Date granted
07/03/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
PHILADELPHIA, PA, 19129-1579
ctlicensing.org
ID 365160
LAST UPDATED 2024-05-05 18:46:04 UTC
LAST UPDATED 2024-05-05 18:46:04 UTC
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