License Verification

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ETHAN ADAIR CHAPIN

License Number: ME124316

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME124316
License Status
DELINQUENT/
License Expiration Date
1/31/2023
License Original Issue Date
05/26/2015
Address of Record
7700 WEST SUNRISE BLVD
STE 200
PLANTATION, FL 33322
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
DEAN, DANIELLE NICOLE Prescribing Physician Assistant Physician Assistant 9103910 7/7/2016
SMITH, MEGAN EILEEN Prescribing Physician Assistant Physician Assistant 9102296 2/8/2016

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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.