Connecticut
Department of Consumer Protection
STACEY DALLAS
Controlled Substance Registration for Practitioners
License number
CSP.0051439
Date granted
03/28/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Bethlehem, CT, 06751
ctlicensing.org
ID 350521
LAST UPDATED 2024-02-19 10:49:24 UTC
LAST UPDATED 2024-02-19 10:49:24 UTC
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