License Verification

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SRINIVAS BOPPANA

License Number: OS15193

Data As Of 6/10/2025

Profession
Osteopathic Physician
License
OS15193
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
03/14/2018
Address of Record
5130 Sunforest Drive
Suite 300
TAMPA, FL 33634
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
Modifica 5330 Ehrlich Road Suite 01
TAMPA, FL 33624
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ELMORE, BEVERLY JEAN Prescribing Physician Assistant Physician Assistant 9107359 11/8/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/10/2025



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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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