License Verification

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JOSE JESUS DIAZ

License Number: ME159559

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME159559
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
10/21/2022
Address of Record
22 SOUTH GREENE STREET
ROOM S4D07
BALTIMORE, MD 21201
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

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Name Relationship Profession License Effective Date
MCGREW, KAITLYN BETH Prescribing Physician Assistant Physician Assistant 9117765 9/10/2024
SHULICK, ANDREA ALYSSA Prescribing Physician Assistant Physician Assistant 9117162 12/2/2023
TATE, LARA Prescribing Physician Assistant Physician Assistant 9117286 12/2/2023

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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.