License holder summary

SUSADA INTHAVONG is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for SUSADA INTHAVONG is WINDSOR LOCKS, CT, 06096-2815. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

SUSADA INTHAVONG
Controlled Substance Registration for Practitioners
License number
CSP.0044902
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
WINDSOR LOCKS, CT, 06096-2815
ctlicensing.org
ID 353241
LAST UPDATED 2026-06-08 04:18:10 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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