License Verification

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MARK DAVID JACOBSON

License Number: ME67158

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME67158
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
10/05/1994
Address of Record
13837 NE 86TH TERRACE
LADY LAKE, FL 32159
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date
JONES, MEGAN NICOLE Additional Surgical Staff Radiologic Technology 67927 10/02/2024

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

Name Relationship Profession License Effective Date
NACKE, BEAU BRIAN Prescribing Physician Assistant Physician Assistant 9110469 3/8/2022

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 12/23/2024



* 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.