License Verification
KATHRYN JOY RUSSELL
License Number: ME115577
Data As Of 6/21/2025
- Address
- 9776 Bonita Beach Road SE Suite 202-C
- BONITA SPRINGS, FL 34135
- Address
- 23471 WALDEN CENTER DRIVE SUITE 300
- BONITA SPRINGS, FL 34134

Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BEAL, KRISTIN CRENSHAW | Prescribing Physician Assistant | Physician Assistant | 9116692 | 12/8/2024 |
ENNIS, TRACY REHBEIN | Prescribing Physician Assistant | Physician Assistant | 9108883 | 3/7/2023 |
JORDAN, TIFFANY BARBIE | Prescribing Physician Assistant | Physician Assistant | 9106038 | 3/7/2023 |
KULAKOWSKI, SOFIA TUNDEL | Prescribing Physician Assistant | Physician Assistant | 9110449 | 3/7/2023 |
RICE, JENNIFER LYNN | Prescribing Physician Assistant | Physician Assistant | 9105815 | 3/7/2023 |
SCHLOSS, SARAH MARTIN | Prescribing Physician Assistant | Physician Assistant | 9104382 | 3/7/2023 |
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 6/21/2025
* 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.