License Verification

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DOUGLAS ALVIN LYSSY

License Number: ME110142

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME110142
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
06/03/2011
Address of Record
649 Dream Island Rd
LONGBOAT KEY, FL 34228
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
777 N Ashley Dr, #1706
TAMPA, FL 33602
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
HARRISON, KRISTIN NICOLE Dispensing Physician Assistant Physician Assistant 9116946 1/25/2023
HORN, JOHN A Prescribing Physician Assistant Physician Assistant 2200 11/23/2015
KATANICS, JANOS Subordinate Medical Doctor 84916 3/19/2016
POST, CYNTHIA SUE Prescribing Physician Assistant Physician Assistant 3617 5/4/2018

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* 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.