License Verification

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JOLENE KEIKO GORANOVIC

License Number: AA132

Data As Of 9/28/2024

Profession
Anesthesiologist Assistant
License
AA132
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/13/2012
Address of Record
2627 West Eau Gailie Blvd
Suite 101
MELBOURNE, FL 32935
Discipline on File
No
Public Complaint
No
Address
1350 S Hickory Street Holmes Regional Medical Ctr.
MELBOURNE, FL 32901
Name Relationship Profession License Effective Date
BUTLER, NATALIE VINCENT SUPERVISOR for AA Medical Doctor 112397 01/01/2021
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 12/06/2012
FIER, ADAM RYAN DO Supervising ME Osteopathic Physician 10956 10/09/2018
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 10/25/2020
KAUFMANN, MARC WALTER Supervising ME Osteopathic Physician 14373 07/12/2017
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 01/01/2021
MAYBURY, EDWARD ALLEN JR Supervising ME Medical Doctor 79595 08/02/2016
NOVA, HUGO A Supervising ME Medical Doctor 111882 10/19/2012
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 12/06/2012
NOVO, ROBERT FRANK Supervising ME Osteopathic Physician 11280 10/09/2018
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 01/01/2021
SCHRADER, KEITH JOSEPH MD Supervising ME Medical Doctor 48296 12/06/2012
SHORE, JEFFREY MICHAEL Supervising ME Medical Doctor 96836 12/06/2012
VARADY, ADAM ERNO SUPERVISOR for AA Medical Doctor 123215 01/01/2021

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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 9/28/2024



* 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.