License Verification

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JESSICA SARAH JIMENEZ

License Number: PA9117307

Data As Of 12/24/2024

Profession
Physician Assistant
License
PA9117307
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/13/2023
Address of Record
1075 Mason Ave
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1890 LPGA Blvd Suite 240
DAYTONA BEACH, FL 32117
Address
17 Old Kings Rd N Suite K
PALM COAST, FL 32137
Address
1165 Dunlawton Ave Suite 102
PORT ORANGE, FL 32127
Address
1175 Dunlawton Ave Suite 1
PORT ORANGE, FL 32127
Address
1865 LPGA Blvd
DAYTONA BEACH, FL 32117
Name Relationship Profession License Effective Date
GILLESPY, MARK CABOT M D Supervising Dispensing Practitioner Medical Doctor 52207 06/22/2023
GILLESPY, MARK CABOT M D Supervising Prescribing Practitioner Medical Doctor 52207 06/28/2023

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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 12/24/2024



* 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.