License Verification

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JACQUELINE YOUNG

License Number: ME132702

Data As Of 11/16/2024

Profession
Medical Doctor
License
ME132702
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
05/24/2017
Address of Record
5130 Sunforest Drive
Suite 300
TAMPA, FL 33634
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 8/26/2024
BEDAMI, DEREK ANTHONY Prescribing Physician Assistant Physician Assistant 9116274 8/26/2024
COZZITORTO, LAURA ANN Prescribing Physician Assistant Physician Assistant 9106679 8/26/2024
EATON, KEVIN CHARLES Prescribing Physician Assistant Physician Assistant 9105961 8/26/2024
FRANKLIN, TIMOTHY GARRETT Prescribing Physician Assistant Physician Assistant 9112323 8/26/2024
JAYSON, AMY NICOLE Prescribing Physician Assistant Physician Assistant 9116199 8/26/2024
KAUFFMAN, AMANDA PAIGE Prescribing Physician Assistant Physician Assistant 9111234 8/26/2024
KETTNER, DAWN THERESE Prescribing Physician Assistant Physician Assistant 9101456 8/26/2024
LAMBY, SARAH LUCILE Prescribing Physician Assistant Physician Assistant 9107634 8/26/2024
LAYMAN, ASHLEY Prescribing Physician Assistant Physician Assistant 9114292 8/26/2024
LEGOAS, DERRICK ANTONIO Prescribing Physician Assistant Physician Assistant 9107024 8/26/2024
MULLINS, KARINA JASMINE Prescribing Physician Assistant Physician Assistant 9111228 8/26/2024
THAKKAR, HARDIK Prescribing Physician Assistant Physician Assistant 9112081 8/26/2024
TSAMBARLIS, MARIA EMMANUELLE Prescribing Physician Assistant Physician Assistant 9110662 8/26/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/16/2024



* 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.