License Verification

Printer Friendly Version

KATHRYN JOY RUSSELL

License Number: ME115577

Data As Of 6/21/2025

Profession
Medical Doctor
License
ME115577
License Status
Clear/Active
License Expiration Date
1/31/2027
License Original Issue Date
03/28/2013
Address of Record
2235 VENETIAN COURT
Suite 1
NAPLES, FL 34109
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
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

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

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.