License Verification

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JEREMY DAVID INGRAM

License Number: OS10697

Data As Of 11/22/2024

Profession
Osteopathic Physician
License
OS10697
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
06/12/2009
Address of Record
2776 CLEVELAND AVENUE
LEE MEMORIAL HEALTH SYSTEM
EMERGENCY DEPARTMENT
FORT MYERS, FL 33901
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
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
ABOKOORA, AHMED ALGHAREEB Prescribing Physician Assistant Physician Assistant 9105700 4/3/2019
BOUNDS, DONALD JR Prescribing Physician Assistant Physician Assistant 3410 8/29/2017
D'ALBA, ANTHONY Prescribing Physician Assistant Physician Assistant 9101564 1/11/2018
DESOMMA, MARK ANTHONY Prescribing Physician Assistant Physician Assistant 9101246 4/22/2019
DOLORFINO, JHAWN ALDVIN Prescribing Physician Assistant Physician Assistant 9108994 7/10/2020
KNUTSON, KATHERYN Prescribing Physician Assistant Physician Assistant 3657 1/11/2018
NGUYEN, MICHAEL TUAN Prescribing Physician Assistant Physician Assistant 9107834 5/4/2017
PEREZ, ALEJANDRO Prescribing Physician Assistant Physician Assistant 9110599 1/9/2018
RIDGWAY, ALISON CHRISTINE Prescribing Physician Assistant Physician Assistant 9106672 4/1/2019
ST FIRMIN, JEFFREY Prescribing Physician Assistant Physician Assistant 9110664 6/30/2020

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Name Relationship Profession License Effective Date

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



No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.