License Verification

Printer Friendly Version

TRISHA JEAN CLARK

License Number: PA9114106

Data As Of 12/4/2024

Profession
Physician Assistant
License
PA9114106
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/17/2021
Address of Record
2605 Welaunee Blvd.
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3051 6th St.
MARIANNA, FL 32446
Name Relationship Profession License Effective Date
DURGIN, CHESLEY FOLSOM III Supervising Dispensing Practitioner Medical Doctor 129877 05/20/2024
DURGIN, CHESLEY FOLSOM III Supervising Prescribing Practitioner Medical Doctor 129877 02/19/2024
MUSGROVE, LAUREN POWELL Supervising Dispensing Practitioner Physician Assistant 9114271 05/20/2024
RICOTTA, JOSEPH J M D Supervising Prescribing Practitioner Medical Doctor 128608 05/03/2021

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

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 12/4/2024



* 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.