Connecticut
Department of Consumer Protection
NICHOLAS FORMICA
Controlled Substance Registration for Practitioners
License number
CSP.0014802
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
PLAINVILLE, CT, 06062
ctlicensing.org
ID 372850
LAST UPDATED 2024-04-05 04:11:55 UTC
LAST UPDATED 2024-04-05 04:11:55 UTC
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