License holder summary

SHASTA HENDERSON is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for SHASTA HENDERSON is MILFORD, CT, 06460-4869. This licensed professional license is current. The license was granted 07/02/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

SHASTA HENDERSON
Controlled Substance Registration for Practitioners
License number
CSP.0055135
Date granted
07/02/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
MILFORD, CT, 06460-4869
ctlicensing.org
ID 367030
LAST UPDATED 2026-05-31 23:55:56 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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