License Verification

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SARA ANNE BREAULT

License Number: PA9110224

Data As Of 5/18/2024

Profession
Physician Assistant
License
PA9110224
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/21/2017
Address of Record
27180 Bay Landing Drive
BONITA SPRINGS, FL 34135
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALI, KHAMEINEI Supervising Dispensing Practitioner Medical Doctor 161972 03/22/2024
ALSALMAN, IHSAN A DO Supervising Prescribing Practitioner Osteopathic Physician 8345 12/18/2017
BURLEY, KEITH CAMERON Supervising Prescribing Practitioner Medical Doctor 128193 12/18/2017
CASTILLO-NIEVES, EDGARDO Supervising Prescribing Practitioner Medical Doctor 106313 12/05/2019
CLAUNCH, ALAN BENTLEY Supervising Prescribing Practitioner Medical Doctor 96436 12/18/2017
CUDNIK, MICHAEL MD Supervising Prescribing Practitioner Medical Doctor 117035 12/18/2017
DOUGHERTY, TIMOTHY JOHN Supervising Prescribing Practitioner Medical Doctor 76221 12/18/2017
ESPOSITO, ROBERT M D O Supervising Prescribing Practitioner Osteopathic Physician 10349 12/18/2017
MIAN, USMAN TARIQ Supervising Prescribing Practitioner Medical Doctor 128350 12/18/2017
PABALAN, RAMON J Supervising Prescribing Practitioner Medical Doctor 40952 12/18/2017
PUNYANI, SAT PAUL Supervising Prescribing Practitioner Medical Doctor 33922 12/18/2017
SCHULTZ, MICHAEL TIMOTHY Supervising Prescribing Practitioner Medical Doctor 102091 12/18/2017
WILLIAMS, TABITHA CLEARY MD Supervising Prescribing Practitioner Medical Doctor 92332 12/18/2017

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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.