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JACQUELINE TANYA WESOLOW

License Number: OS12792

Data As Of 5/16/2024

Profession
Osteopathic Physician
License
OS12792
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
06/11/2014
Address of Record
12902 Magnolia Drive
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 11/1/2022
BEDAMI, DEREK ANTHONY Prescribing Physician Assistant Physician Assistant 9116274 10/17/2022
COZZITORTO, LAURA ANN Prescribing Physician Assistant Physician Assistant 9106679 10/17/2022
EATON, KEVIN CHARLES Dispensing Physician Assistant Physician Assistant 9105961 3/3/2020
EATON, KEVIN CHARLES Prescribing Physician Assistant Physician Assistant 9105961 5/23/2016
FORBES, STEPHANIE LYNN Prescribing Physician Assistant Physician Assistant 9105163 5/23/2016
FRANKLIN, TIMOTHY GARRETT Prescribing Physician Assistant Physician Assistant 9112323 1/31/2022
GRUCHOW, TERRY FRANCIS Prescribing Physician Assistant Physician Assistant 9102408 5/23/2016
HENDRIX, TIMOTHY WAYNE Prescribing Physician Assistant Medical Doctor 65142 11/1/2022
JAYSON, AMY NICOLE Prescribing Physician Assistant Physician Assistant 9116199 10/17/2022
KAUFFMAN, AMANDA PAIGE Prescribing Physician Assistant Physician Assistant 9111234 11/1/2022
KETTNER, DAWN THERESE Prescribing Physician Assistant Physician Assistant 9101456 11/1/2022
LACHES, ELIZABETH NICOLE Prescribing Physician Assistant Physician Assistant 9117484 7/31/2023
LAMBY, SARAH LUCILE Prescribing Physician Assistant Physician Assistant 9107634 2/23/2022
LAYMAN, ASHLEY Prescribing Physician Assistant Physician Assistant 9114292 10/17/2022
LEGOAS, DERRICK ANTONIO Prescribing Physician Assistant Physician Assistant 9107024 11/1/2022
MCCAIN, CHANDLER Prescribing Physician Assistant Physician Assistant 9117510 7/31/2023
MELERO, AMBER Prescribing Physician Assistant Physician Assistant 9114422 2/23/2022
MULLINS, KARINA JASMINE Prescribing Physician Assistant Physician Assistant 9111228 11/1/2022
ROHR, RACHEL Prescribing Physician Assistant Physician Assistant 9114550 11/1/2022
SCHLENKER, JULIE KATE Prescribing Physician Assistant Physician Assistant 9108981 8/4/2016
THAKKAR, HARDIK Prescribing Physician Assistant Physician Assistant 9112081 11/1/2022
TSAMBARLIS, MARIA EMMANUELLE Prescribing Physician Assistant Physician Assistant 9110662 2/23/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/16/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.