Connecticut
Department of Consumer Protection
THEODORE BLAINE
Controlled Substance Registration for Practitioners
License number
CSP.0031679
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Old Greenwich, CT, 06870
ctlicensing.org
ID 314665
LAST UPDATED 2024-02-11 23:18:09 UTC
LAST UPDATED 2024-02-11 23:18:09 UTC
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