Connecticut
Department of Consumer Protection
NICOLE PETA
Controlled Substance Registration for Practitioners
License number
CSP.0054158
Date granted
01/30/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
ASTORIA, NY, 11105
ctlicensing.org
ID 363751
LAST UPDATED 2026-05-08 06:21:29 UTC
LAST UPDATED 2026-05-08 06:21:29 UTC
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