Connecticut
Department of Consumer Protection
THOMAS BALCEZAK
Controlled Substance Registration for Practitioners
License number
CSP.0027076
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
NEW HAVEN, CT, 06510-3220
ctlicensing.org
ID 311447
LAST UPDATED 2024-03-10 20:47:12 UTC
LAST UPDATED 2024-03-10 20:47:12 UTC
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