Connecticut
Department of Consumer Protection
SHU PAN
Controlled Substance Registration for Practitioners
License number
CSP.0055948
Date granted
08/19/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06510-3602
ctlicensing.org
ID 362006
LAST UPDATED 2026-04-28 02:32:18 UTC
LAST UPDATED 2026-04-28 02:32:18 UTC
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