License Verification

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JACQUELYN RENEE FREEMAN

License Number: PA9109326

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA9109326
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/11/2016
Address of Record
10000 SW Innovation Way
Cleveland Clinic Tradition Hospital
PORT SAINT LUCIE, FL 34987
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
10050 SW Innovation Way suite 102
PORT SAINT LUCIE, FL 34987
Name Relationship Profession License Effective Date
BABU, MAYA Supervising Prescribing Practitioner Medical Doctor 142972 11/24/2020
CASAS-REYES, CARLOS EDUARDO Supervising Prescribing Practitioner Medical Doctor 113039 10/07/2019
MANDEL BRIGIDO, MAURICIO Supervising Prescribing Practitioner Medical Doctor 147473 09/22/2023
REN, ZEGUANG Supervising Prescribing Practitioner Medical Doctor 118822 11/24/2020
ROSKI, RICHARD ARTHUR MD Supervising Prescribing Practitioner Medical Doctor 103866 10/07/2019
STOEV, IVAN TODOROV Supervising Prescribing Practitioner Medical Doctor 118628 09/22/2023
SZENTIRMAI, OSZKAR Supervising Prescribing Practitioner Medical Doctor 113944 09/22/2023

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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 11/23/2024



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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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