NATHAN JEROLD DIEHL
License Number: PA9113328
Data As Of 7/5/2024
Profession | Physician Assistant | |
---|---|---|
License | PA9113328 | |
License Status | CLEAR/Active | |
Qualifications | Prescribing | Dispensing Practitioner |
License Expiration Date | 1/31/2026 | |
License Original Issue Date | 07/01/2020 | |
Address of Record | 1528 Lakeview Rd. | |
Suite 150 | ||
CLEARWATER, FL 33756 | ||
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No | |
Discipline on File | No | |
Public Complaint | No |
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