License Verification

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EDWARD WIEGERS III

License Number: OS14844

Data As Of 7/7/2024

Profession
Osteopathic Physician
License
OS14844
License Status
DELINQUENT/
License Expiration Date
3/31/2024
License Original Issue Date
07/28/2017
Address of Record
11498 N. San Clemente St.
Surprise
SURPRISE, AZ 85388
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

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Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 5/12/2022
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 3/8/2022
BRUCE, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9109680 12/5/2019
CARMONA, DIEGO ENRIQUE Prescribing Physician Assistant Physician Assistant 9106216 12/10/2019
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 3/17/2022
GLARDON, CHRISTIAN GEORGES Prescribing Physician Assistant Physician Assistant 9105689 3/30/2022
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 3/7/2022
LIENHARDT, LILLIAN MARY CATHERINE Prescribing Physician Assistant Physician Assistant 9109772 8/25/2019
MCGRATH, SEAN FRANCIS Prescribing Physician Assistant Medical Doctor 104344 3/28/2022
MORRIS, SCOTT KIMBERLY Prescribing Physician Assistant Physician Assistant 2885 4/27/2022
PAGE, JOHN D'WAYNE Prescribing Physician Assistant Physician Assistant 9104949 4/15/2022
PANE, MICHELE LEE JAVAHERIAN Prescribing Physician Assistant Physician Assistant 9105406 2/10/2020
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 4/1/2022
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 2/22/2023
SAUER, HENRY EDWARD Prescribing Physician Assistant Physician Assistant 9105455 4/12/2022
SHAVALIER, ALISSA JAN Prescribing Physician Assistant Physician Assistant 9103314 10/16/2019
SWANSON, TERRELL E JOHN Prescribing Physician Assistant Medical Doctor 111251 3/8/2022
SWARTHOUT, CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9110821 12/3/2019
THOMAS, ROBERT LOUIS Prescribing Physician Assistant Osteopathic Physician 8592 3/28/2022
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 3/31/2022
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 3/7/2023
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 3/7/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/7/2024



* 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.