License Verification

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MICHAEL IBRAHIM MANSOUR IBRAHIM

License Number: PS58918

Data As Of 12/23/2024

Profession
Pharmacist
License
PS58918
License Status
CLEAR/Active
Qualifications
Certified To Administer Immunizations
Test and Treat Certification
License Expiration Date
9/30/2025
License Original Issue Date
01/30/2019
Address of Record
13241 WILDGRASS TRL
ODESSA
ODESSA, FL 33556
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
REMMER, DAVID JOHN TTC Supervising Physician Medical Doctor 86328 08/09/2023

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Name Relationship Profession License Effective Date
ARCHANGEL PHARMACY LLC PDM/CORsubordinate Pharmacy 34414 3/6/2023
ARCHANGEL PHARMACY LLC Pharmacy Pharmacy 34414 2/17/2023

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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.