License Verification

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NATHAN THOMAS GLASS

License Number: PA9107968

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9107968
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/11/2014
Address of Record
105 Laurel View Drive
SMITHFIELD, PA 15478
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
JIBAWI, MOHAMAD KHALID Supervising Prescribing Practitioner Medical Doctor 127256 03/22/2018
SINGH, PARIKSITH Supervising Prescribing Practitioner Medical Doctor 71088 03/20/2018
VENNAMANENI, MANJUSRI Supervising Prescribing Practitioner Medical Doctor 93756 03/20/2018
WHITTIER, SCOTT JAMES MD Supervising Prescribing Practitioner Medical Doctor 55472 03/22/2018

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Name Relationship Profession License Effective Date

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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



* 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.


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