License Verification
KATHRYN TYRRELL DEGOURSEY PA-C
License Number: PA1974
Data As Of 4/24/2025
- Address
- 3550 University Blvd S. Su302 BakerGilmour Cardiovascular
- JAX, FL 32224

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
AHMED, FARID | Supervising Prescribing Practitioner | Medical Doctor | 100221 | 05/01/2020 |
BENNETT, JOHNIQUE CORTA | Supervising Prescribing Practitioner | Medical Doctor | 136292 | 05/01/2020 |
GREENE, TREVOR ORVILLE | Supervising Prescribing Practitioner | Medical Doctor | 89472 | 03/01/2017 |
GUPTA, AMIT KUMAR | Supervising Prescribing Practitioner | Medical Doctor | 136345 | 03/19/2020 |
IMAM, HUSSAIN SYED | Supervising Prescribing Practitioner | Medical Doctor | 81517 | 05/01/2020 |
IMAM, TALAT | Supervising Prescribing Practitioner | Medical Doctor | 71382 | 05/02/2020 |
PEREIRA, EDWARD SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 94160 | 03/01/2017 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 4/24/2025
* 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.