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JAVIER IGNACIO GONZALEZ

License Number: ME107827

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME107827
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
07/23/2010
Address of Record
4535 Dressler Road NW
CANTON, OH 44718
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 09/01/2023
BLACKMAN, ABIGAIL SHNITER Supervisor Medical Doctor 127220 08/20/2018
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
STULTZ, MEGAN Supervisor Medical Doctor 130382 07/01/2017
TARIQ, ZAIN Supervisor Medical Doctor 133236 05/01/2020
THOMAS, GEORGE K Supervisor Medical Doctor 136701 01/01/2019
VELASCO, WILLIAM J Supervisor Medical Doctor 121914 05/19/2017
WENZEL, SERGE ALEXANDER Supervisor Osteopathic Physician 14350 02/01/2020
WHITE, GREGORY RICHARD MR Supervisor Medical Doctor 39946 05/01/2017

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

Name Relationship Profession License Effective Date
ABBOTT, SHERYL LYNN Prescribing Physician Assistant Physician Assistant 9116106 2/1/2023
BARQUIN, JOSE MIGUEL JR Prescribing Physician Assistant Medical Doctor 131689 6/27/2024
BOLTON, ASHLEY MARIE Prescribing Physician Assistant Physician Assistant 9108069 3/21/2023
BOWMAN, RYAN SCOTT Prescribing Physician Assistant Physician Assistant 9117823 9/12/2023
CASELLAS, AMBER CHEYENNE Prescribing Physician Assistant Physician Assistant 9109320 12/31/2021
CLINE, JESSICA MARIE LYNN Prescribing Physician Assistant Physician Assistant 9116036 10/20/2023
CRAMER, GREGORY ROBERT Prescribing Physician Assistant Physician Assistant 9116628 1/9/2023
CRAWFORD, PERRY WILLIAM Prescribing Physician Assistant Physician Assistant 9113494 8/11/2023
DAWKINS, DONALD Prescribing Physician Assistant Osteopathic Physician 10160 10/19/2023
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 1/10/2023
DESAI, AJAY Prescribing Physician Assistant Osteopathic Physician 12568 12/31/2021
DIEHL, NATHAN JEROLD Prescribing Physician Assistant Physician Assistant 9113328 3/21/2023
DOLAN, NICHOLAS ALEXANDER Prescribing Physician Assistant Physician Assistant 9113623 2/16/2023
EVANGELISTI, MINDY Prescribing Physician Assistant Physician Assistant 9118901 7/9/2024
FASIUDDIN, NAJAM Prescribing Physician Assistant Osteopathic Physician 15006 7/14/2023
FELDMAN, TRAVIS SCOTT Prescribing Physician Assistant Physician Assistant 9110309 1/10/2023
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 5/25/2023
FREEMAN, KELLIE CHRISTINE Prescribing Physician Assistant Physician Assistant 9110742 8/1/2024
GLEAVES, RACHEL Prescribing Physician Assistant Physician Assistant 9117325 5/19/2023
GOGLIO, ALEC PERRY Prescribing Physician Assistant Physician Assistant 9117740 9/1/2023
HARDEN, KYLE Prescribing Physician Assistant Physician Assistant 9113509 3/21/2023
HAVERCHAK, ALEXANDRA Prescribing Physician Assistant Physician Assistant 9115748 3/16/2022
HOLLIS, GREG DWIGHT Prescribing Physician Assistant Physician Assistant 9106026 11/1/2023
HUGNEY, DANIELLE NICOLE Prescribing Physician Assistant Physician Assistant 9117466 11/1/2023
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 1/10/2023
JONES, LINDSEY GAIL Prescribing Physician Assistant Physician Assistant 9114709 11/1/2023
KAZAR, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9117682 9/20/2023
KHURRAM, SEHRISH Prescribing Physician Assistant Physician Assistant 9118360 8/1/2024
KIMMERLING, ADAM TYLER Prescribing Physician Assistant Physician Assistant 9108682 11/1/2023
KINSEY, RICHARD RAYMOND JR Prescribing Physician Assistant Physician Assistant 9101145 11/1/2023
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 2/1/2022
KOKJOHN, KRISTEN LYNN Prescribing Physician Assistant Physician Assistant 9116466 11/1/2023
KRUGER, MARK SAUL Subordinate Medical Doctor 43984 8/1/2018
KUPKE, WILLIAM ROBERT Prescribing Physician Assistant Physician Assistant 9113667 1/1/2022
LANCASTER, CHRISTOPHER ALEXANDER Prescribing Physician Assistant Physician Assistant 9104840 11/1/2024
LARIMORE, TRAVIS LEE Prescribing Physician Assistant Physician Assistant 9106146 11/1/2024
LAVINA, JAY PATRICK Prescribing Physician Assistant Physician Assistant 9102410 11/14/2016
LIVOTI, REINALDO Prescribing Physician Assistant Physician Assistant 9118153 10/30/2023
LUDWIG, RICHARD EUGENE Prescribing Physician Assistant Physician Assistant 9102456 11/1/2023
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 11/1/2023
MADDALONI, ANGELINA Prescribing Physician Assistant Physician Assistant 9115757 11/1/2023
MAFFEO, HEATHER NICOLE Prescribing Physician Assistant Physician Assistant 9117673 7/28/2023
MAULFAIR, MITCHELL DEAN Prescribing Physician Assistant Osteopathic Physician 7054 2/22/2022
MONROE, BRADLEY SEAN Prescribing Physician Assistant Physician Assistant 9115248 1/10/2023
MUTZ, DANIEL ADAM Prescribing Physician Assistant Physician Assistant 9117071 11/1/2023
NICHOLS, ALEXANDER CARL Prescribing Physician Assistant Physician Assistant 9117561 7/12/2023
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 4/1/2022
PABST II, DAVID J Prescribing Physician Assistant Physician Assistant 9117468 5/25/2023
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 4/1/2022
PASHEGOBA, STEVEN LEE Prescribing Physician Assistant Physician Assistant 9101722 1/10/2023
PELLISSIER, OLIVIA MARIE Prescribing Physician Assistant Physician Assistant 9118062 10/19/2023
REEVES, TRAVIS LANCE Prescribing Physician Assistant Physician Assistant 9110296 1/10/2023
RESTREPO, GLISET Prescribing Physician Assistant Physician Assistant 9110146 1/10/2023
RINI, JACLYN Prescribing Physician Assistant Physician Assistant 9108634 11/1/2023
RIZZO, MARISSA Prescribing Physician Assistant Physician Assistant 9114944 3/21/2023
SCHLEIF, ROBERT DAVID Prescribing Physician Assistant Physician Assistant 9112559 8/26/2022
SKIDMORE, JUSTIN STUART Prescribing Physician Assistant Physician Assistant 9110082 11/1/2023
SMITH, ALLISTAIR Prescribing Physician Assistant Physician Assistant 9111535 11/22/2022
SMITH, IMELDA Prescribing Physician Assistant Physician Assistant 9115912 11/1/2023
SORDAN, MICHAEL ROLF Prescribing Physician Assistant Physician Assistant 9115648 1/10/2023
STINEBECK, JARED C Prescribing Physician Assistant Physician Assistant 9105546 1/10/2023
SUCKOW, WENDY SUE Prescribing Physician Assistant Physician Assistant 9101731 1/10/2023
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 11/7/2016
TINGLER, TARA LYNN Prescribing Physician Assistant Physician Assistant 9102755 11/1/2023
WANZER, ASHLEY Prescribing Physician Assistant Physician Assistant 9112753 11/1/2023
WATTERS, JOSEPH Prescribing Physician Assistant Physician Assistant 9112435 11/1/2023
WHITE, JEREMY V Prescribing Physician Assistant Osteopathic Physician 11399 2/1/2022
WILSON, NANCY JOANN Prescribing Physician Assistant Physician Assistant 9105925 11/1/2023
YEH, ANDERSON Prescribing Physician Assistant Physician Assistant 9113431 11/1/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.