License Verification

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MICHELLE LUNDEEN PENNIE

License Number: ME108521

Data As Of 6/15/2024

Profession
Medical Doctor
License
ME108521
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
10/29/2010
Address of Record
699 S Indiana Avenue
ENGLEWOOD, FL 34223
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
3355 Clark Road Suite 101
SARASOTA, FL 34231
Address
315 Nokomis Avenue
VENICE, FL 34285
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BEADLES, ELIZABETH MEI LAN Prescribing Physician Assistant Physician Assistant 9111244 6/12/2024
LEBEAU, CATHERINE MARY Prescribing Physician Assistant Physician Assistant 9118377 6/12/2024
REIDY, LAURA CORTELYOU Prescribing Physician Assistant Physician Assistant 9115411 4/28/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/16/2024



* 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.