Connecticut
Department of Consumer Protection
PHILIP WAGENBACH
Controlled Substance Registration for Practitioners
License number
CSP.0038543
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
ELLINGTON, CT, 06029
ctlicensing.org
ID 327497
LAST UPDATED 2024-03-27 14:45:50 UTC
LAST UPDATED 2024-03-27 14:45:50 UTC
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