Sumangala F Huded Controlled Substance Registration for Practitioner
78 Marlborough St, Portland, CT 06480


Sumangala F Huded is licensed in the eLicensing system of Connecticut. The license credential ID is 143303. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 78 Marlborough St, Portland, CT 06480. The zip code is 06480.


Sumangala F Huded · 78 Marlborough St, Portland, CT 06480

Credential ID 143303
Name SUMANGALA F HUDED
Type INDIVIDUAL
Address 78 MARLBOROUGH ST
PORTLAND, CT 06480
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0012269
Credential Type CSP
Credential Number 12269
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/23/201

SUMANGALA F HUDED · Connecticut Business

Sumangala F Huded · Physician/surgeon 78 Marlborough St, Portland, CT 06480

Zip 06480 · Controlled Substance Registration for Practitioner · Connecticut Business

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