License Verification

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KATHERINE MCLEOD

License Number: PA9112141

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9112141
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/11/2019
Address of Record
6500 Bowden Rd
Suite 103
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
232 Ponte Vedra Park Dr.
PONTE VEDRA BEACH, FL 32082
Address
2627 Riverside Ave Suite 300
JACKSONVILLE, FL 32204
Address
4565 US Highway 17 Suite 200
FLEMING ISLAND, FL 32003
Address
2001 County Road 210 W Suite 200
SAINT JOHNS, FL 32259
Address
15255 Max Legget Parkway Suite 5300
JACKSONVILLE, FL 32218
Address
10475 Centurion Pkwy N Ste 220
JACKSONVILLE, FL 32256
Name Relationship Profession License Effective Date
HURFORD, ROBERT KENNETH JR Supervising Dispensing Practitioner Medical Doctor 107092 07/14/2022
HURFORD, ROBERT KENNETH JR Supervising Prescribing Practitioner Medical Doctor 107092 11/05/2024

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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



* 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.


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