Connecticut
Department of Consumer Protection
PAGE WALLER
Controlled Substance Registration for Practitioners
License number
CSP.0023231
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
New Fairfield, CT, 06812
ctlicensing.org
ID 337454
LAST UPDATED 2024-03-28 01:02:18 UTC
LAST UPDATED 2024-03-28 01:02:18 UTC
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