License Verification

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AUDREY CATHERINE MONTGOMERY

License Number: PA9107343

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9107343
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/22/2013
Address of Record
1 TAMPA GENERAL CIRCLE
TAMPA GENERAL HOSPITAL
TAMPA, FL 33606
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10740 PALM RIVER RD STE 200 TGH BRANDON HEALTHPLEX
TAMPA, FL 33619
Address
1301 W Kennedy Blvd
TAMPA, FL 33606
Name Relationship Profession License Effective Date
BEECUM, ALOK AROONKUMAR Supervising Prescribing Practitioner Medical Doctor 114942 06/06/2017
GAMBLE, MIRIAM JOY Supervising Prescribing Practitioner Medical Doctor 130206 04/03/2017
JAMESON, ANGUS MACINTOSH Supervising Prescribing Practitioner Medical Doctor 114475 09/21/2017
PATTERSON, JASMINE LEE Supervising Prescribing Practitioner Medical Doctor 127896 11/01/2016
WEIN, DAVID ABRAHAM Supervising Prescribing Practitioner Medical Doctor 99292 10/17/2023

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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 5/19/2024



* 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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