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JASON LAWRENCE SIEGEL

License Number: ME117198

Data As Of 12/3/2024

Profession
Medical Doctor
License
ME117198
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/08/2013
Address of Record
4110 Southpoint Blvd
104
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
HASTINGS, JACQUELYN JO Prescribing Physician Assistant Physician Assistant 9111396 8/26/2020
KRIDER, TINA LOUISE Prescribing Physician Assistant Physician Assistant 9107880 9/1/2020
OJARD, MICHELLE MEEDER Prescribing Physician Assistant Physician Assistant 9110789 8/6/2021
PETRINE, BRIAN FRANKLIN Prescribing Physician Assistant Physician Assistant 9104481 9/8/2020
PROPST, JOSHUA ALLEN Prescribing Physician Assistant Physician Assistant 9106314 9/1/2020
VILLAR, DOLORES CRISTINA Prescribing Physician Assistant Physician Assistant 9112733 9/8/2021
WHITE JR, ANDREW LAYTON Prescribing Physician Assistant Physician Assistant 9112047 7/21/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/3/2024



* 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.


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