License Verification

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CRYSTAL MARIE ERHARDT

License Number: PA9110167

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA9110167
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/24/2017
Address of Record
12902 Magnolia Dr
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12902 MAGNOLIA DR. MOFFITT CANCER CENTER
TAMPA, FL 33612
Name Relationship Profession License Effective Date
AHMED, ALTAN FAREED Supervising Prescribing Practitioner Medical Doctor 135276 10/22/2021
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 10/22/2021
ARAUJO, CYRILLO RODRIGUES Supervising Prescribing Practitioner Medical Doctor 133869 09/28/2018
CARROLL, DAVID RICHARD MD Supervising Prescribing Practitioner Medical Doctor 59882 12/10/2018
CHOI, JUNSUNG Supervising Prescribing Practitioner Medical Doctor 63922 10/22/2021
GUSTAINYTE, VAIVA Supervising Prescribing Practitioner Osteopathic Physician 14612 07/19/2021
KLIPPENSTEIN, DONALD LEE Supervising Prescribing Practitioner Medical Doctor 103162 09/28/2017
LAM, CESAR Supervising Prescribing Practitioner Medical Doctor 124855 09/27/2018
MCGETTIGAN, MELISSA JANINE Supervising Prescribing Practitioner Medical Doctor 117405 09/28/2018
PARIKH, NAINESH SHARAD Supervising Prescribing Practitioner Medical Doctor 128082 10/22/2021
SALLOUM, ELIAS HABIB Supervising Prescribing Practitioner Medical Doctor 143403 01/31/2020
VENKAT, SHREE RAMANAN DR Supervising Prescribing Practitioner Medical Doctor 116495 08/05/2024

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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 11/23/2024



* 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.