Connecticut
Department of Consumer Protection
NINA HO
Controlled Substance Registration for Practitioners
License number
CSP.0053873
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06511-4770
ctlicensing.org
ID 372041
LAST UPDATED 2024-03-05 15:14:47 UTC
LAST UPDATED 2024-03-05 15:14:47 UTC
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