Jerry L Greenburg Md Controlled Substance Registration for Practitioner
4 Deerwood Rd, Westport, CT 068802604


Jerry L Greenburg Md is licensed in the eLicensing system of Connecticut. The license credential ID is 153662. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 4 Deerwood Rd, Westport, CT 068802604. The zip code is 06880.


Jerry L Greenburg Md · 4 Deerwood Rd, Westport, CT 068802604

Credential ID 153662
Name JERRY L GREENBURG MD
Type INDIVIDUAL
Address 4 DEERWOOD RD
WESTPORT, CT 068802604
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0005392
Credential Type CSP
Credential Number 5392
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 03/01/2006
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 03/05/201

Zip 06880 · Controlled Substance Registration for Practitioner · Connecticut Business

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