License Verification

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CHARLES JOSEPH CHASE D.O.

License Number: OS5987

Data As Of 12/24/2024

Profession
Osteopathic Physician
License
OS5987
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
12/10/1990
Address of Record
851 TRAFALGAR COURT
SUITE 300W
MAITLAND, FL 32751
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Nova Southeastern University 4850 Millenia Boulevard
ORLANDO, FL 32839
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
LARA, JOSE GABRIEL Subordinate Anesthesiologist Assistants 576 12/2/2024
MCCOY, JESSIE LEE AA Anesthesiologist Assistants 523 2/16/2024
MENDOZA, NICOLE LEA AA Anesthesiologist Assistants 388 12/8/2017
MIMS, RASHAAN AA Anesthesiologist Assistants 663 5/24/2024
SADOWSKY, JESSICA NICOLE AA Anesthesiologist Assistants 507 2/14/2024
SULEYMANOV, ILKHOM BATIROVICH AA Anesthesiologist Assistants 551 2/19/2024
TSONAS, ALANA NOEL AA Anesthesiologist Assistants 820 8/4/2023
WILDING, MATTHEW RICHARD AA Anesthesiologist Assistants 107 4/3/2018

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/24/2024



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** 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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