Connecticut
Department of Consumer Protection
TERESA DOMACK
Controlled Substance Registration for Practitioners
License number
CSP.0057897
Date granted
07/18/2014
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
FARMINGTON, CT, 06032-3533
ctlicensing.org
ID 18269988
LAST UPDATED 2026-04-17 18:49:26 UTC
LAST UPDATED 2026-04-17 18:49:26 UTC
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