License Verification

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HOUSAM MOURSI DO

License Number: OS7173

Data As Of 11/24/2024

Profession
Osteopathic Physician
License
OS7173
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
04/01/1996
Address of Record
3065 James Redman Parkway
PLANT CITY, FL 33566
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13162 US HWY 301
RIVERVIEW, FL 33568
Address
11146 winthrop market street
RIVERVIEW, FL 33578
Address
1075 Carpenters Way
LAKELAND, FL 33809
Name Relationship Profession License Effective Date
RESTREPO, ANA LUCIA Supervisor Medical Doctor 101453 01/01/2021

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Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 7/25/2021
BRISCOE, JOSHUA GABRIEL Subordinate Medical Doctor 107300 11/1/2020
COBB WEYAND, ALYSSA CLAIRE Prescribing Physician Assistant Physician Assistant 9109483 7/25/2021
CONDE, NATALIE E Prescribing Physician Assistant Physician Assistant 9105106 7/25/2021
DELCAMP, CHRISTY LASSITER Prescribing Physician Assistant Physician Assistant 9105893 7/25/2021
GRANT-LEVY, TATIA R DO Subordinate Osteopathic Physician 7331 11/1/2020
INJETY, SHYAM KUMAR RAJENDRA Prescribing Physician Assistant Physician Assistant 9108987 11/19/2021
LUDWIG, RICHARD EUGENE Prescribing Physician Assistant Physician Assistant 9102456 7/25/2021
MCNALLY, MELISSA LEE Prescribing Physician Assistant Physician Assistant 9102840 7/25/2021
MELENDEZ GARCIA, MELANIE Subordinate Medical Doctor 119966 6/1/2019
OSBORNE, AARON RYAN Subordinate Medical Doctor 108215 11/1/2020
RIOS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101599 2/23/2010
SCOTT, RANDALL EUGENE Prescribing Physician Assistant Physician Assistant 9103913 11/16/2021
SKIDMORE, JUSTIN STUART Prescribing Physician Assistant Physician Assistant 9110082 7/25/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/24/2024



* 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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