Connecticut
Department of Consumer Protection
MICHAEL FORTGANG
Controlled Substance Registration for Practitioners
License number
CSP.0029936
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WESTPORT, CT, 06880
ctlicensing.org
ID 330640
LAST UPDATED 2024-03-29 09:20:23 UTC
LAST UPDATED 2024-03-29 09:20:23 UTC
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