JESSICA LYNN FEDOR
License Number: PA9107397
Data As Of 5/2/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9107397 |
| License Status | DELINQUENT/ |
| Qualifications | Prescribing |
| License Expiration Date | 1/31/2024 |
| License Original Issue Date | 08/22/2013 |
| Address of Record | 3100 SW 62nd Ave |
| MIAMI, FL 33155 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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