License Verification

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TIMOTHY JOHN CHESLOCK

License Number: OS12099

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS12099
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
03/22/2013
Address of Record
2627 West Eau Gaille Blvd.
Suite 101
MELBOURNE, FL 32935
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BOYER, MICHAEL ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 7483 04/06/2022
WHITNEY, KEYNA JURI Supervising Prescribing Practitioner Medical Doctor 133690 04/06/2022

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Name Relationship Profession License Effective Date
BURCHENSON, KRYSTA-GAYE LATOYA Prescribing Physician Assistant Physician Assistant 9108009 3/27/2018
CUBERO, ISMAEL CANDIDO Subordinate Medical Doctor 126889 10/1/2019
GRAHAM, KELLY ANN Prescribing Physician Assistant Physician Assistant 9112573 10/23/2019
HABIB, LAILA NICOLE Prescribing Physician Assistant Physician Assistant 9111509 12/17/2018
LUKASIK, MICHELLE NICOLE Prescribing Physician Assistant Physician Assistant 9111603 12/17/2018
MATEY, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9108982 8/31/2023
OLIVA, JOSEPH WAYNE Subordinate Osteopathic Physician 10074 6/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* 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.


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.