License Verification

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JEREMY LANDON THARP

License Number: ME108515

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME108515
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
10/29/2010
Address of Record
120 Medical Blvd.
Ste 102
SPRING HILL, FL 34609
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
120 Medical Blvd. Ste 107
SPRING HILL, FL 34609
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
MOTA, AMNA Prescribing Physician Assistant Physician Assistant 9113158 10/1/2020

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Name Relationship Profession License Effective Date

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



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** 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.


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