Connecticut
Department of Consumer Protection
TAMARA VANDERWAL
Controlled Substance Registration for Practitioners
License number
CSP.0049315
Date granted
03/17/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BRANFORD, CT, 06405
ctlicensing.org
ID 365826
LAST UPDATED 2026-05-12 19:21:34 UTC
LAST UPDATED 2026-05-12 19:21:34 UTC
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