License Verification

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RACHAEL LEIGH GENTRY

License Number: PA9108099

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9108099
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/13/2014
Address of Record
2415 North Orange Ave.
Suite 400
ORLANDO, FL 32804
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
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 08/07/2020
MCCABE KLINE, KRISTIN BOND Supervising Prescribing Practitioner Medical Doctor 98422 12/01/2015
MOSES, DUSTY ALLEN DR Supervising Prescribing Practitioner Medical Doctor 115932 12/01/2015
MUCCIOLO, PAUL MD Supervising Prescribing Practitioner Medical Doctor 69281 12/01/2015
RAMIA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 116871 12/01/2015
SISKO, MATTHEW DAVID Supervising Prescribing Practitioner Medical Doctor 111919 12/01/2015
WEINER, TRACY I DO Supervising Prescribing Practitioner Osteopathic Physician 7471 12/01/2015
WIESE, GEORG KRISTOFER Supervising Prescribing Practitioner Medical Doctor 128351 08/22/2024

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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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.