License Verification

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ZACHARY WAYNE WILSON

License Number: ME117252

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME117252
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/13/2013
Address of Record
HCA FW Destin Hospital
1000 Mar Walt Dr
FORT WALTON BEACH, FL 32547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4 Skipper Ave.
FORT WALTON BEACH, FL 32547
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BOWEN, WESLEY PAUL Prescribing Physician Assistant Physician Assistant 9106736 7/26/2016
LOCKLEAR, ALEXANDRA MACKINLAY Prescribing Physician Assistant Physician Assistant 9103837 12/3/2018
STORK, JERRY LEE JR Prescribing Physician Assistant Physician Assistant 9103513 9/26/2018

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.