License Verification

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ALEISHA NICOLE THEARLE

License Number: PA9110478

Data As Of 8/16/2025

Profession
Physician Assistant
License
PA9110478
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/13/2017
Address of Record
6821 PALISADES PARK COURT
SUITE 1
FT MYERS, FL 33912
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BURTCH, GORDON DAVID Supervising Prescribing Practitioner Medical Doctor 40302 03/07/2018
D'ANGELO, ANTHONY JOSEPH Supervising Prescribing Practitioner Medical Doctor 72761 03/07/2018
KALRA, AJAY Supervising Prescribing Practitioner Medical Doctor 85409 03/07/2018
KAMMERLOCHER, THAD CONAN Supervising Prescribing Practitioner Medical Doctor 65374 03/07/2018
MANIBO, JOSE F Supervising Prescribing Practitioner Medical Doctor 91490 03/07/2018
SIRUTIS, BENJAMIN Supervising Prescribing Practitioner Medical Doctor 155657 02/27/2025
THOMAS, BIJU K Supervising Prescribing Practitioner Medical Doctor 122133 03/07/2018

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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 8/16/2025



* 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.