Connecticut
Department of Consumer Protection
BRIAN WAGNER
Controlled Substance Registration for Practitioners
License number
CSP.0036162
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
EAST GRANBY, CT, 06026-9519
ctlicensing.org
ID 351878
LAST UPDATED 2024-04-04 12:22:57 UTC
LAST UPDATED 2024-04-04 12:22:57 UTC
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