License Verification

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LAURA CAROLINA KHAWAJA

License Number: PA9109324

Data As Of 5/18/2024

Profession
Physician Assistant
License
PA9109324
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/08/2016
Address of Record
9776 Bonita Beach Rd
Suite 201a
BONITA SPRINGS, FL 34135
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8440 Murano Del Lago Dr
ESTERO, FL 34135
Address
681 4th Ave N
NAPLES, FL 34102
Name Relationship Profession License Effective Date
COX, ELIZABETH MEDINA Supervising Prescribing Practitioner Medical Doctor 158257 11/15/2022
DOUGLAS, OXANA VLADIMIROVNA Supervising Prescribing Practitioner Medical Doctor 119711 12/16/2022
GALLAWAY, MARY ANN Supervising Prescribing Practitioner Medical Doctor 155577 12/14/2022
KOSLOFF, REBECCA AMY Supervising Prescribing Practitioner Medical Doctor 95691 02/08/2024
MACVENN, MELISSA A Supervising Prescribing Practitioner Medical Doctor 131354 11/22/2022

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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 5/18/2024



* 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.