License Verification

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MARAM MOUSA BISHAWI

License Number: OS17004

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS17004
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
07/10/2020
Address of Record
545 channelside dr A1407
TAMPA, FL 33602
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
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 5/16/2022
BERMAN, BRIAN L Prescribing Physician Assistant Medical Doctor 110013 5/16/2022
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 8/14/2022
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 11/17/2022
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 6/10/2020
CHAPMAN, JENNIFER COLES Subordinate Medical Doctor 125751 1/6/2021
EATON, KEVIN CHARLES Prescribing Physician Assistant Physician Assistant 9105961 9/1/2022
GLARDON, CHRISTIAN GEORGES Prescribing Physician Assistant Physician Assistant 9105689 5/16/2022
JOHNSON, MICHAEL Prescribing Physician Assistant Physician Assistant 9111371 5/16/2022
LAMBY, SARAH LUCILE Prescribing Physician Assistant Physician Assistant 9107634 11/22/2021
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 10/5/2022
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 5/16/2022
MELERO, AMBER Prescribing Physician Assistant Physician Assistant 9114422 11/22/2021
MORRIS, SCOTT KIMBERLY Prescribing Physician Assistant Physician Assistant 2885 5/16/2022
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 2/24/2023
PAGE, JOHN D'WAYNE Prescribing Physician Assistant Physician Assistant 9104949 5/16/2022
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 5/16/2022
SALAS, JENNIFER LYNNE Prescribing Physician Assistant Physician Assistant 9104807 5/16/2022
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 7/7/2022
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 5/16/2022
THOMAS, ROBERT LOUIS Prescribing Physician Assistant Osteopathic Physician 8592 5/16/2022
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 5/16/2022
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 5/16/2022
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 5/16/2022

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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.