License Verification

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IAN WETHERALL

License Number: PA9108763

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9108763
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/15/2015
Address of Record
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Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
201 14th ST SW
LARGO, FL 33770
Address
1200 7TH AVENUE NORTH
SAINT PETERSBURG, FL 33705
Address
3001 W. Dr. MLK Jr Blvd St. Joseph's Hospital
TAMPA, FL 33607
Address
455 Pinellas St. Suite 320 BayCare Medical Group, Inc
CLEARWATER, FL 33756
Name Relationship Profession License Effective Date
BOTT, JEFFREY NORMAN Supervising Prescribing Practitioner Medical Doctor 73514 06/22/2021
BRADNER, MICHAEL WARD MD Supervising Prescribing Practitioner Medical Doctor 107051 02/20/2020
HARRINGTON, PHILLIPS BREWSTER Supervising Prescribing Practitioner Medical Doctor 131893 02/20/2020
HERIC, BLAINE RICHARD MD Supervising Prescribing Practitioner Medical Doctor 73348 03/05/2020
KAYATTA, MICHAEL OWEN MD Supervising Prescribing Practitioner Medical Doctor 136589 03/05/2020
OFENLOCH, JOHN CHARLES Supervising Prescribing Practitioner Medical Doctor 85019 03/05/2020
ROVIN, JOSHUA DAVID Supervising Prescribing Practitioner Medical Doctor 93801 03/05/2020
SHERIDAN, INDRANI ANASTASIA Supervising Prescribing Practitioner Medical Doctor 77738 06/22/2021
SHERMAN, ANDREW JAMES Supervising Prescribing Practitioner Medical Doctor 85358 02/20/2020

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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.