Connecticut
Department of Consumer Protection
SAM SELVA
Controlled Substance Registration for Practitioners
License number
CSP.0055090
Date granted
06/24/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FAIRFIELD, CT, 06825-2527
ctlicensing.org
ID 349523
LAST UPDATED 2024-05-06 02:57:28 UTC
LAST UPDATED 2024-05-06 02:57:28 UTC
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