Connecticut
Department of Consumer Protection
MICHELLE MATTIACCIO
Controlled Substance Registration for Practitioners
License number
CSP.0040912
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
BETHEL, CT, 06801
ctlicensing.org
ID 348158
LAST UPDATED 2024-05-19 02:06:44 UTC
LAST UPDATED 2024-05-19 02:06:44 UTC
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