Connecticut
Department of Consumer Protection
STUART FORMAN
Controlled Substance Registration for Practitioners
License number
CSP.0010825
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WEST HARTFORD, CT, 06107
ctlicensing.org
ID 328187
LAST UPDATED 2024-04-14 22:35:11 UTC
LAST UPDATED 2024-04-14 22:35:11 UTC
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