License Verification

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JULIE K. SECREST

License Number: ME110718

Data As Of 5/7/2024

Profession
Medical Doctor
License
ME110718
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/01/2011
Address of Record
FEP of TeamHealth
500 Winderley Place
#115
MAITLAND, FL 32751
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

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Name Relationship Profession License Effective Date
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/1/2017
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
BAILEY, MELISSA CASILLAS Prescribing Physician Assistant Physician Assistant 9107076 3/17/2016
CALLAWAY, KATIE LENORE Prescribing Physician Assistant Physician Assistant 9105550 3/17/2016
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
GRAHAM, KELLY ANN Prescribing Physician Assistant Physician Assistant 9112573 10/24/2019
HODES, JAMIE LEE Prescribing Physician Assistant Physician Assistant 9109515 11/16/2016
HOLLIS, GREG DWIGHT Prescribing Physician Assistant Physician Assistant 9106026 3/17/2016
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 3/17/2016
KIMMERLING, ADAM TYLER Prescribing Physician Assistant Physician Assistant 9108682 3/17/2016
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
LANCASTER, CHRISTOPHER ALEXANDER Prescribing Physician Assistant Physician Assistant 9104840 3/16/2016
LARIMORE, TRAVIS LEE Prescribing Physician Assistant Physician Assistant 9106146 3/16/2016
LAVINA, JAY PATRICK Prescribing Physician Assistant Physician Assistant 9102410 3/16/2016
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/18/2017
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MONROE, KIMBERLY DAWN Prescribing Physician Assistant Physician Assistant 9107201 3/16/2016
O'SHELL, COLLEEN MARIE Prescribing Physician Assistant Physician Assistant 9109521 8/5/2016
RINI, JACLYN Prescribing Physician Assistant Physician Assistant 9108634 3/16/2016
SCOTT, MATTHEW ALEXANDER Prescribing Physician Assistant Physician Assistant 9106407 3/16/2016
TINGLER, TARA LYNN Prescribing Physician Assistant Physician Assistant 9102755 3/16/2016
WIDNER, LAUREN BROOKE Prescribing Physician Assistant Physician Assistant 9105907 3/16/2016
ZAHN, ELISE JOY Prescribing Physician Assistant Osteopathic Physician 7897 11/21/2016

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/7/2024



* 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.