License Verification

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THOMAS WILLIAM ULRICH

License Number: PA9101550

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9101550
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/16/2001
Address of Record
20940 Uptown Ave
apt 206
BOCA RATON, FL 33428
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8849 State Rd 52
HUDSON, FL 34667
Address
5616 Tuscola Blvd
BRADENTON, FL 34281
Address
220 Tamiami Trail
PORT CHARLOTTE, FL 33948
Address
1328 N. Woodland Blvd
DELAND, FL 32720
Address
13005 Collier Blvd
NAPLES, FL 34116
Address
7720 Merrill Rd
JACKSONVILLE, FL 32277
Address
11985 Atlantic Blvd
JACKSONVILLE, FL 32225
Address
19090 State Rd 7
BOCA RATON, FL 33498
Address
1809 N. University Drive
CORAL SPRINGS, FL 33071
Name Relationship Profession License Effective Date
NEZOWITZ, GREGG DAVID Supervising Dispensing Practitioner Medical Doctor 75671 02/21/2020
NEZOWITZ, GREGG DAVID Supervising Prescribing Practitioner Medical Doctor 75671 02/21/2020

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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 12/2/2024



* 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.


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