License Verification

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ELIAS HABIB SALLOUM

License Number: ME143403

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME143403
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/09/2019
Address of Record
Moffitt Cancer Center
12902 USF Magnolia Drive
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

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Name Relationship Profession License Effective Date
ERHARDT, CRYSTAL MARIE Prescribing Physician Assistant Physician Assistant 9110167 1/31/2020
EVANS, MACKENZIE LYNN Prescribing Physician Assistant Physician Assistant 9116290 12/12/2023
NERI, AMANDA Prescribing Physician Assistant Physician Assistant 9118429 4/9/2024
SHAPIRO, JADEN Prescribing Physician Assistant Physician Assistant 9112121 4/30/2020
STEELS, JORDAN Prescribing Physician Assistant Physician Assistant 9113185 9/25/2023
WLOCH, SAMANTHA ANNA Prescribing Physician Assistant Physician Assistant 9111230 10/22/2021

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

Name Relationship Profession License Effective Date

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



No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



* 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.