Connecticut
Department of Consumer Protection
RANDALL WING
Controlled Substance Registration for Practitioners
License number
CSP.0020082
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
SO WINDSOR, CT, 06074
ctlicensing.org
ID 341689
LAST UPDATED 2026-06-27 18:15:15 UTC
LAST UPDATED 2026-06-27 18:15:15 UTC
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