Connecticut
Department of Consumer Protection
TIFFANY DENEPITIYA-BALICKI
Controlled Substance Registration for Practitioners
License number
CSP.0046509
Date granted
07/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
Norwalk, CT, 06850
ctlicensing.org
ID 366088
LAST UPDATED 2024-03-21 00:25:00 UTC
LAST UPDATED 2024-03-21 00:25:00 UTC
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