License Verification

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ASHTON TYQUILAN COBB

License Number: PS53912

Data As Of 12/22/2024

Profession
Pharmacist
License
PS53912
License Status
CLEAR/Active
Qualifications
Certified To Administer Immunizations
Test and Treat Certification
Collaborative Practice Certification
License Expiration Date
9/30/2025
License Original Issue Date
08/17/2015
Address of Record
960 Backstage Lane
LAKE BUENA VISTA, FL 32830
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
DAVIS II, CEDRIC EMDEN TTC Supervising Physician Medical Doctor 108693 06/30/2024
DINARDO, ANTHONY CHRISTOPHER CPC Supervising Physician Osteopathic Physician 11422 04/13/2023
FUNK, PERRY NELSON CPC Supervising Physician Osteopathic Physician 13384 04/13/2023
HANNA, MADONNA CPC Supervising Physician Medical Doctor 122161 04/13/2023
HASSAN, ASHRAF MOHAMED CPC Supervising Physician Medical Doctor 118686 04/13/2023
MAGNESS, DAVID JEREMIAH CPC Supervising Physician Osteopathic Physician 11617 04/13/2023
MEDRANO, CHRISTINA MARIE CPC Supervising Physician Medical Doctor 123933 04/13/2023
NELSON, JEFFREY THOMAS CPC Supervising Physician Osteopathic Physician 11411 04/13/2023
ONATE, BORIS FABRICIO CPC Supervising Physician Medical Doctor 97051 04/13/2023
SEDOR, JENNIFER ALLISON CPC Supervising Physician Medical Doctor 128525 04/13/2023
SUGUITAN, DEMETRIO BANAGLORIOSO JR CPC Supervising Physician Medical Doctor 108481 04/13/2023

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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 12/23/2024



* 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.


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.