License Verification
JONATHAN FAIN BULLMAN
License Number: PA9107709
Data As Of 11/21/2024
- Address
- North Okaloosa Medical Center 151 East Redstone Avenue
- CRESTVIEW, FL 32539
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ALLMAN, JEFFREY WILLIAM | Supervising Prescribing Practitioner | Osteopathic Physician | 9007 | 07/19/2023 |
BERRY, SHANNON GAYLE | Supervising Prescribing Practitioner | Medical Doctor | 152055 | 06/17/2021 |
BRADLEY, REBECCA | Supervising Prescribing Practitioner | Medical Doctor | 147611 | 01/10/2024 |
CRINER, ROGER D JR | Supervising Prescribing Practitioner | Medical Doctor | 114331 | 06/21/2021 |
CUPO, WILLIAM WALTER MD | Supervising Prescribing Practitioner | Medical Doctor | 86389 | 09/16/2022 |
DUERR, KARL MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 151983 | 05/31/2021 |
EDLER, RAYME MICHELLE | Supervising Prescribing Practitioner | Medical Doctor | 109913 | 09/09/2021 |
GEORGE, MATTHEW | Supervising Prescribing Practitioner | Medical Doctor | 164808 | 10/12/2023 |
HAMPTON, ZACHARY EDWARD | Supervising Prescribing Practitioner | Osteopathic Physician | 18067 | 07/13/2023 |
HARVEY, KYLE | Supervising Prescribing Practitioner | Medical Doctor | 158195 | 07/25/2023 |
HILL, ROBERT LEE | Supervising Prescribing Practitioner | Medical Doctor | 166795 | 08/26/2024 |
HWANG, CHARLES WILLIAM JR | Supervising Prescribing Practitioner | Medical Doctor | 126436 | 07/25/2023 |
KOERTNER, ADAM | Supervising Prescribing Practitioner | Medical Doctor | 157233 | 08/16/2023 |
LANG, JUERGEN | Supervising Prescribing Practitioner | Medical Doctor | 164763 | 10/14/2024 |
LATHAM, JOSHUA LUKE DO | Supervising Prescribing Practitioner | Osteopathic Physician | 10027 | 07/09/2021 |
LITTMAN, NICHOLAS | Supervising Prescribing Practitioner | Medical Doctor | 151791 | 10/11/2022 |
MATTEUZZI, KATIE LOU | Supervising Prescribing Practitioner | Osteopathic Physician | 19359 | 02/13/2024 |
MCNEIL, MEGAN IONE | Supervising Prescribing Practitioner | Medical Doctor | 129689 | 05/02/2021 |
MEIS, DANIEL ROBERT | Supervising Prescribing Practitioner | Osteopathic Physician | 19686 | 07/13/2023 |
MELANCON, ERIC EUGENE | Supervising Prescribing Practitioner | Medical Doctor | 150172 | 07/02/2021 |
MULLIS, BARON THAXTON | Supervising Prescribing Practitioner | Medical Doctor | 113789 | 02/02/2021 |
NOGGLE, TOMMY STEVEN MD | Supervising Prescribing Practitioner | Medical Doctor | 93880 | 07/02/2021 |
NUCHERENO, ANTHONY RICHARD | Supervising Prescribing Practitioner | Osteopathic Physician | 17869 | 07/26/2023 |
OWEN, STEPHANIE LEANN | Supervising Prescribing Practitioner | Medical Doctor | 127333 | 07/09/2021 |
PATEL, JAIMIN BALWANT M D | Supervising Prescribing Practitioner | Medical Doctor | 104797 | 09/22/2023 |
PATRONIS ADAMS, MARIA | Supervising Prescribing Practitioner | Physician Assistant | 9111206 | 07/02/2021 |
RASIWALA, AZIMA | Supervising Prescribing Practitioner | Osteopathic Physician | 18254 | 01/03/2021 |
RIZZUTO, WILLIAM THOMAS | Supervising Prescribing Practitioner | Medical Doctor | 161389 | 07/25/2023 |
RUTH, ROBERT ALLAN | Supervising Prescribing Practitioner | Medical Doctor | 74008 | 07/25/2023 |
SHEA, JILL MARIE | Supervising Prescribing Practitioner | Medical Doctor | 136840 | 07/21/2023 |
THOMPSON, TOMMY GLEN II | Supervising Prescribing Practitioner | Medical Doctor | 128635 | 07/09/2021 |
WALKER, ROBERT KENNETH | Supervising Prescribing Practitioner | Medical Doctor | 163903 | 07/26/2023 |
WEST, KERRI ELESE | Supervising Prescribing Practitioner | Osteopathic Physician | 18404 | 10/20/2021 |
WESTBROOK, JAMES WESLEY | Supervising Prescribing Practitioner | Medical Doctor | 146630 | 07/09/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
SIMMONS, LEONARD WILLIAM | Prescribing Physician Assistant | Physician Assistant | 9103209 | 7/29/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
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.