License Verification

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KIMBERLY TAMEKA JACKSON D.O.

License Number: OS9724

Data As Of 4/30/2025

Profession
Osteopathic Physician
License
OS9724
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
01/17/2006
Address of Record
2110 N DONNELLY ST
SUITE 200
MOUNT DORA, FL 32757
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2110 N Donnelly Street Suite 200
MOUNT DORA, FL 32757
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
WINTER HAVEN HOSPITAL INC HCCE Health Care Clinic Establishment Permit 3194 2/4/2010

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/30/2025



* 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.