License Verification
LISA M HABERSBRUNNER
License Number: PA9108678
Data As Of 11/21/2024
- Address
- 16966 Cagan North Ridge Rd
- CLERMONT, FL 34714
- Address
- 52 West Underwood Street
- ORLANDO, FL 32806
- Address
- 555 W. SR 434
- LONGWOOD, FL 32750
- Address
- 10000 West Colonial Drive
- OCOEE, FL 34761
- Address
- 17000 Porter Road
- WINTER GARDEN, FL 34787
- Address
- 1001 E. Osceola Parkway
- KISSIMMEE, FL 34744
- Address
- 1900 Don Wickham
- CLERMONT, FL 34711
- Address
- 22316 US 27
- LEESBURG, FL 34748
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| COSTANZO, KRISTA ALEXIS | Supervising Prescribing Practitioner | Medical Doctor | 79409 | 03/21/2018 |
| HENDRIX, TIMOTHY WAYNE | Supervising Dispensing Practitioner | Medical Doctor | 65142 | 12/09/2020 |
| KWATRA, SANJAY | Supervising Prescribing Practitioner | Medical Doctor | 77907 | 03/07/2018 |
| LYON, CAROLYN ROSE MD | Supervising Prescribing Practitioner | Medical Doctor | 103952 | 03/21/2018 |
| SKIPPER, MARTIN DAVID MD | Supervising Prescribing Practitioner | Medical Doctor | 72577 | 03/07/2018 |
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| Name | Relationship | Profession | License | Effective Date |
|---|
Click on the License Number to view License Details for that Practitioner
| 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.
