Connecticut
Department of Consumer Protection
TRACY CIVITILLO
Controlled Substance Registration for Practitioners
License number
CSP.0029263
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
SIMSBURY, CT, 06070
ctlicensing.org
ID 310139
LAST UPDATED 2024-03-11 11:31:27 UTC
LAST UPDATED 2024-03-11 11:31:27 UTC
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