License Verification

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JAYSON TRAVIS KEENER

License Number: PA9111420

Data As Of 4/29/2025

Profession
Physician Assistant
License
PA9111420
License Status
NULL AND VOID/
Qualifications
Prescribing
License Expiration Date
1/31/2022
License Original Issue Date
07/25/2018
Address of Record
If further information is needed, please contact the Department of Health at (850) 488-0595.
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
151 Southhall Lane, Suite 300
MAITLAND, FL 32751
Address
8940 Kingsridge Drive Suite 104
DAYTON, OH 45458
Address
2361 Lakeview Drive Advanced Dermatology of Ohio
BEAVERCREEK, OH 45431
Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 4/29/2025



* 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.