License Verification

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TERRY FRANCIS GRUCHOW

License Number: PA9102408

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9102408
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/30/2003
Address of Record
12902 MAGNOLIA DR
H LEE MOFFITT CANCER CTR RESEA
TAMPA, FL 33612
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
BROMBERG, HANNAH Supervising Prescribing Practitioner Osteopathic Physician 16020 09/27/2021
HEMBREE, TIMOTHY NELSON Supervising Prescribing Practitioner Osteopathic Physician 12077 11/01/2021
HOLMSTROM, BJORN Supervising Prescribing Practitioner Medical Doctor 91170 11/01/2021
JADID, HASSAN Supervising Prescribing Practitioner Medical Doctor 129422 03/21/2018
JALALI, SAMUEL Supervising Prescribing Practitioner Medical Doctor 143719 11/11/2021
LEDBETTER, MARK Supervising Prescribing Practitioner Medical Doctor 150322 11/02/2021
OTT, PAUL CARL Supervising Prescribing Practitioner Osteopathic Physician 18168 10/25/2021
RAMSAKAL, ASHA Supervising Prescribing Practitioner Osteopathic Physician 7793 01/11/2018
SYED, MISBAHUDDIN Supervising Prescribing Practitioner Medical Doctor 128558 11/01/2021
VERMA, NEHA Supervising Prescribing Practitioner Medical Doctor 128361 03/21/2018
WESOLOW, JACQUELINE TANYA Supervising Prescribing Practitioner Osteopathic Physician 12792 05/23/2016
WINKLER, ADAM GRAYSON Supervising Prescribing Practitioner Medical Doctor 130793 03/16/2022

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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 12/22/2024



* 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.