David Pereira Controlled Substance Registration for Practitioner
40 West Elm St, Greenwich, CT 06830


David Pereira is licensed in the eLicensing system of Connecticut. The license credential ID is 1232988. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 40 West Elm St, Greenwich, CT 06830. The zip code is 06830.


David Pereira · 40 West Elm St, Greenwich, CT 06830

Credential ID 1232988
Name DAVID PEREIRA
Type INDIVIDUAL
Address 40 West Elm St
Greenwich, CT 06830
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0057901
Credential Type CSP
Credential Number 57901
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 07/28/2014
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 05/20/201

street_number: 40
route: West Elm Street (W Elm St)
locality, political: Greenwich
admin_level_2, political: Fairfield County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06830
types : street_address
latitude: 41.0267482
longitude: -73.6274159
latlng: (41.0267482, -73.6274159)


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