Connecticut
Department of Consumer Protection
MICHELLE VAN NAME
Controlled Substance Registration for Practitioners
License number
CSP.0044308
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06513
ctlicensing.org
ID 341071
LAST UPDATED 2026-05-27 02:05:03 UTC
LAST UPDATED 2026-05-27 02:05:03 UTC
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