License Verification

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CHAD TROY RENNIE

License Number: ME151065

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME151065
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
05/28/2021
Address of Record
3630 Monarch Breeze Drive
RIVERVIEW, FL 33578
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
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 09/27/2021

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Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 9/2/2021
COBB WEYAND, ALYSSA CLAIRE Prescribing Physician Assistant Physician Assistant 9109483 9/2/2021
CONDE, NATALIE E Prescribing Physician Assistant Physician Assistant 9105106 9/2/2021
DELCAMP, CHRISTY LASSITER Prescribing Physician Assistant Physician Assistant 9105893 9/2/2021
INJETY, SHYAM KUMAR RAJENDRA Prescribing Physician Assistant Physician Assistant 9108987 11/19/2021
LUDWIG, RICHARD EUGENE Prescribing Physician Assistant Physician Assistant 9102456 9/2/2021
MCNALLY, MELISSA LEE Prescribing Physician Assistant Physician Assistant 9102840 9/2/2021
SCOTT, RANDALL EUGENE Prescribing Physician Assistant Physician Assistant 9103913 11/16/2021
SKIDMORE, JUSTIN STUART Prescribing Physician Assistant Physician Assistant 9110082 9/2/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* 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.