License Verification

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JEFFREY L ALCORN

License Number: PA9111411

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9111411
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/23/2018
Address of Record
3110 Fruitville Commons blvd
101
LAKEWOOD RANCH, FL 34240
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
HASSAN, KHALID KAMAL Supervising Prescribing Practitioner Medical Doctor 129362 01/03/2022
JONAS-LAZIN, SHERRI ADRIENNE Supervising Prescribing Practitioner Medical Doctor 59445 01/18/2022
PLEASANTS, TOM ADAIR Supervising Prescribing Practitioner Osteopathic Physician 5751 08/02/2024
ROHRBACHER, MELISSA ANNE DO Supervising Prescribing Practitioner Osteopathic Physician 17159 11/03/2023
ZILBERMAN, ALLA Supervising Prescribing Practitioner Medical Doctor 143317 06/14/2021

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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 11/21/2024



* 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.