License Verification

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OZLEM TARHAN

License Number: PA9111784

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9111784
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/31/2018
Address of Record
12902 Moffitt Cancer Center
USF Magnolia Drive
Department of GI Oncology
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10920 McKinley Dr.
TAMPA, FL 33612
Name Relationship Profession License Effective Date
CZERNIECKI, BRIAN JOSEPH Supervising Prescribing Practitioner Medical Doctor 129379 11/04/2021
HOOVER, SUSAN JANE MD Supervising Prescribing Practitioner Medical Doctor 91531 11/04/2021
KHAKPOUR, NAZANIN Supervising Prescribing Practitioner Medical Doctor 100313 11/03/2021
KILUK, JOHN VINCENT Supervising Prescribing Practitioner Medical Doctor 98964 11/04/2021
LARONGA, CHRISTINE Supervising Prescribing Practitioner Medical Doctor 93499 11/03/2021
LEE, MARIE CATHERINE Supervising Prescribing Practitioner Medical Doctor 99730 11/04/2021
MALLORY, MELISSA ANNE Supervising Prescribing Practitioner Medical Doctor 145143 11/01/2021

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



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** 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.


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