Connecticut
Department of Consumer Protection
CY BLANCO
Controlled Substance Registration for Practitioners
License number
CSP.0051353
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BRONX, NY, 10471
ctlicensing.org
ID 364606
LAST UPDATED 2024-04-10 22:14:35 UTC
LAST UPDATED 2024-04-10 22:14:35 UTC
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