License Verification

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WILLIAM HARRIS GREEN

License Number: ME108696

Data As Of 10/27/2026

Profession
Medical Doctor
License
ME108696
License Status
Clear/Active
License Expiration Date
1/31/2027
License Original Issue Date
12/08/2010
Address of Record
1707 RIGGINS ROAD
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
425 W. 19th St., Suite D & E
PANAMA CITY, FL 32405
Address
3009 4th STREET
MARIANNA, FL 32446
Address
110 NE 5th Street
CARRABELLE, FL 32322
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BLACK, MICHAEL EDWARD Prescribing Physician Assistant Physician Assistant 9121203 2/4/2026
HASBARGEN, TRISTAN MICHAEL Prescribing Physician Assistant Physician Assistant 9106784 9/6/2017
LINDSEY, ANGELA P Prescribing Physician Assistant Physician Assistant 3005 10/20/2026
MERCHANT, JENNIE LAUREL Prescribing Physician Assistant Physician Assistant 9110627 6/22/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/27/2026



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** 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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