License Verification

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DANIEL PENELLO

License Number: ME107487

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME107487
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/17/2010
Address of Record
12416 66TH STREET NORTH
SUITE A
LARGO, FL 33773
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2438 DR ML KING JR ST N
SAINT PETERSBURG, FL 33704
Address
1325 Belcher Road Suite A
PALM HARBOR, FL 34683
Name Relationship Profession License Effective Date

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

Name Relationship Profession License Effective Date
BURLESON, BLAKELEY ELIZABETH Prescribing Physician Assistant Physician Assistant 9114793 7/22/2022
CORLESS, KIARRA PENA Prescribing Physician Assistant Physician Assistant 9116148 7/21/2022
DUDLEY, JANELLE VARGO Prescribing Physician Assistant Physician Assistant 9103041 7/22/2022
DUQUETTE, LINDSAY ERIN Prescribing Physician Assistant Physician Assistant 9105324 7/22/2022
RICE, LINDSEY MARIE Prescribing Physician Assistant Physician Assistant 9103941 7/22/2022
WETHINGTON, JENNIFER NIGRO Prescribing Physician Assistant Physician Assistant 9101953 7/22/2022
WILDT, ERIN ANNE Prescribing Physician Assistant Physician Assistant 9107208 7/22/2022

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 11/23/2024



* 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.