Connecticut
Department of Consumer Protection
MICHAEL ELLSWORTH
Controlled Substance Registration for Practitioners
License number
CSP.0004887
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
PUTNAM, CT, 06260
ctlicensing.org
ID 314274
LAST UPDATED 2024-02-25 19:36:58 UTC
LAST UPDATED 2024-02-25 19:36:58 UTC
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