Connecticut
Department of Consumer Protection
TARA AUTH
Controlled Substance Registration for Practitioners
License number
CSP.0054481
Date granted
04/05/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NORTH HAVEN, CT, 06473-3509
ctlicensing.org
ID 370485
LAST UPDATED 2024-02-27 22:20:56 UTC
LAST UPDATED 2024-02-27 22:20:56 UTC
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