Connecticut
Department of Consumer Protection
THEODORE BLUM
Controlled Substance Registration for Practitioners
License number
CSP.0003870
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BETHEL, CT, 06801-1854
ctlicensing.org
ID 314673
LAST UPDATED 2024-02-13 01:18:45 UTC
LAST UPDATED 2024-02-13 01:18:45 UTC
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