License Verification

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STEPHANIE LYNN FORBES

License Number: PA9105163

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9105163
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/14/2009
Address of Record
12902 MAGNOLIA DRIVE
MOFFITT CANCER CENTER
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
BINITIE, OMOHODION TEMISANJU Supervising Prescribing Practitioner Medical Doctor 117296 10/22/2021
CHANGELA, DIPALI KINESH Supervising Prescribing Practitioner Medical Doctor 131471 09/18/2017
GONZALEZ, RICARDO JORGE M D Supervising Prescribing Practitioner Medical Doctor 102674 05/01/2023
JADID, HASSAN Supervising Prescribing Practitioner Medical Doctor 129422 03/21/2018
LAZARIDES, ALEXANDER LEANDROS Supervising Prescribing Practitioner Medical Doctor 156347 04/14/2023
LETSON, GEORGE DOUGLAS Supervising Prescribing Practitioner Medical Doctor 64409 10/25/2021
MULLINAX, JOHN ELLIS Supervising Prescribing Practitioner Medical Doctor 107440 11/08/2021
RAMSAKAL, ASHA Supervising Prescribing Practitioner Osteopathic Physician 7793 02/05/2018
VERMA, NEHA Supervising Prescribing Practitioner Medical Doctor 128361 03/21/2018
VOSS, RACHEL KAYE Supervising Prescribing Practitioner Medical Doctor 150959 04/14/2023
WESOLOW, JACQUELINE TANYA Supervising Prescribing Practitioner Osteopathic Physician 12792 05/23/2016

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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.