Connecticut
Department of Consumer Protection
STEPHEN WALLACE
Controlled Substance Registration for Practitioners
License number
CSP.0002265
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WATERBURY, CT, 06708
ctlicensing.org
ID 332763
LAST UPDATED 2024-03-29 03:18:17 UTC
LAST UPDATED 2024-03-29 03:18:17 UTC
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