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Jason
Jason
Lopez
Registered pharmacy technician
Physician assistant
Tampa,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF PHARMACY
Full name
Jason Lopez
Job Title
Registered Pharmacy Technician
License Number
RPT57323
License Status
Clear/Active
License Issue Date
11/12/2014
License Expiry Date
31/12/2024
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
JASON LOPEZ
Job Title
Physician Assistant
Location
Tampa, FL, USA
LIC ID
21775
Current License Expiration Date
31/01/2026
Original Date
23/05/2023
Professional Rank Code
PA
Effective Date
23/05/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
UNIT 3
Practice Location Address Line 1
4210 N COOLIDGE AVE
Practice Location Address Line 2
UNIT 3
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33614
Prescribing Indicator
N
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