License Verification
KELLY ANN GRAHAM
License Number: PA9112573
Data As Of 11/23/2024
No secondary locations found.
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ACOSTA TAPIA, HECTOR JAVIER | Supervising Prescribing Practitioner | Medical Doctor | 95153 | 10/24/2019 |
BABB, KEVIN OLIVER | Supervising Prescribing Practitioner | Medical Doctor | 130725 | 10/23/2019 |
BACASNOT, JEROME | Supervising Prescribing Practitioner | Medical Doctor | 132578 | 10/24/2019 |
BARAJAS, FERNANDO | Supervising Prescribing Practitioner | Medical Doctor | 134745 | 10/24/2019 |
BASTERRECHEA, HUGO ROMULO | Supervising Prescribing Practitioner | Medical Doctor | 104965 | 10/23/2019 |
BAUMGARDNER, MAXEN LANE | Supervising Prescribing Practitioner | Osteopathic Physician | 10872 | 10/23/2019 |
BENNETT, MILES CLARK | Supervising Prescribing Practitioner | Osteopathic Physician | 10955 | 10/23/2019 |
BIRENBAUM, DALE SCOTT MD | Supervising Prescribing Practitioner | Medical Doctor | 72696 | 10/23/2019 |
BISHOP, DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 14926 | 10/24/2019 |
BLEVINS, GRAIG EDWARD | Supervising Prescribing Practitioner | Osteopathic Physician | 12408 | 10/23/2019 |
BOSTICK, BARBARA BARRIE | Supervising Prescribing Practitioner | Medical Doctor | 137562 | 10/24/2019 |
BOWLS, BRADFORD JORDAN | Supervising Prescribing Practitioner | Medical Doctor | 76194 | 10/23/2019 |
BRAHMBHATT, ALKESH PRAVIN | Supervising Prescribing Practitioner | Osteopathic Physician | 8985 | 10/23/2019 |
CABATU, AMABEL-JOVAN CHUA MD | Supervising Prescribing Practitioner | Medical Doctor | 96128 | 10/23/2019 |
CAMACHO-ACEVEDO, LESLIE ROSIE | Supervising Prescribing Practitioner | Medical Doctor | 125213 | 10/23/2019 |
CARON, JESSE ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 99918 | 10/24/2019 |
CHARNAS, JEANNE MARIE SMREKAR | Supervising Prescribing Practitioner | Medical Doctor | 72486 | 10/23/2019 |
CHEESEBREW, JOHN FRANKLIN II | Supervising Prescribing Practitioner | Medical Doctor | 119183 | 10/23/2019 |
CHESLOCK, TIMOTHY JOHN | Supervising Prescribing Practitioner | Osteopathic Physician | 12099 | 10/23/2019 |
CHIN, KEVIN WESLEY | Supervising Prescribing Practitioner | Medical Doctor | 130328 | 10/23/2019 |
CISNEROS, LEONARDO | Supervising Prescribing Practitioner | Osteopathic Physician | 8015 | 10/23/2019 |
CLAYTON, JEROME | Supervising Prescribing Practitioner | Medical Doctor | 127193 | 10/23/2019 |
CLEVELAND, RENEE MICHELLE | Supervising Prescribing Practitioner | Medical Doctor | 79367 | 10/23/2019 |
COOPER, HERBERT PRESS III | Supervising Prescribing Practitioner | Medical Doctor | 91330 | 10/23/2019 |
DALEY, JANIN CHRISTIN | Supervising Prescribing Practitioner | Medical Doctor | 123412 | 10/23/2019 |
DENNEY, CLIFFORD JOSEPH MD | Supervising Prescribing Practitioner | Medical Doctor | 106797 | 10/23/2019 |
DIAZ BALZAC, ROBERTO J | Supervising Prescribing Practitioner | Medical Doctor | 127423 | 10/24/2019 |
DOTSON, TRACE M | Supervising Prescribing Practitioner | Osteopathic Physician | 12691 | 10/24/2019 |
FERNANDEZ FERNANDEZ, JUAN RAFAEL | Supervising Prescribing Practitioner | Medical Doctor | 127278 | 10/24/2019 |
FRIEND, VICKI KAY DO | Supervising Prescribing Practitioner | Osteopathic Physician | 7562 | 10/24/2019 |
FRISCH, MARK SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 96093 | 10/23/2019 |
GALLEGOS, LAURA ELISA ALDARONDO | Supervising Prescribing Practitioner | Medical Doctor | 107281 | 10/23/2019 |
GOLDMAN, DAVID DO | Supervising Prescribing Practitioner | Osteopathic Physician | 8129 | 10/23/2019 |
GRAZIANO, JENNY D | Supervising Prescribing Practitioner | Medical Doctor | 99574 | 10/23/2019 |
GREGORY, CHRISTEN NICHOLE MD | Supervising Prescribing Practitioner | Medical Doctor | 118702 | 10/24/2019 |
GUE, SHAYNE MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 129308 | 10/24/2019 |
GUZMAN MARTINEZ, SAMUEL | Supervising Prescribing Practitioner | Medical Doctor | 89143 | 10/24/2019 |
HARBOUR, DAVID MARK | Supervising Prescribing Practitioner | Osteopathic Physician | 8124 | 07/01/2021 |
HAUS, DOUGLAS MARTIN | Supervising Prescribing Practitioner | Osteopathic Physician | 12432 | 10/24/2019 |
HERNANDEZ, DENNIS ARNALDO | Supervising Prescribing Practitioner | Medical Doctor | 55104 | 10/24/2019 |
HORNER, KIMBERLY BOGARD | Supervising Prescribing Practitioner | Medical Doctor | 129828 | 10/24/2019 |
ISA, IBRAHIM | Supervising Prescribing Practitioner | Medical Doctor | 131853 | 10/24/2019 |
JANWADKAR, SHAKUNTALA SANDEEP MD | Supervising Prescribing Practitioner | Medical Doctor | 86339 | 10/24/2019 |
JEAN-BAPTISTE, NAOMI | Supervising Prescribing Practitioner | Medical Doctor | 137930 | 10/24/2019 |
KOSCINSKI, FELICE ILENE | Supervising Prescribing Practitioner | Medical Doctor | 70986 | 10/24/2019 |
KRUGER, MARK SAUL | Supervising Prescribing Practitioner | Medical Doctor | 43984 | 10/24/2019 |
LANKER, MARK DARRYL | Supervising Prescribing Practitioner | Medical Doctor | 111494 | 10/24/2019 |
LAPP, JOHN KOEHLER | Supervising Prescribing Practitioner | Osteopathic Physician | 4816 | 10/24/2019 |
LIN, EDWARD C | Supervising Prescribing Practitioner | Osteopathic Physician | 11547 | 07/01/2021 |
MANSFIELD, OMAYRA LIZZIE | Supervising Prescribing Practitioner | Medical Doctor | 111757 | 10/24/2019 |
MAULDIN, JUSTIN ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 131802 | 10/24/2019 |
MAULFAIR, MITCHELL DEAN | Supervising Prescribing Practitioner | Osteopathic Physician | 7054 | 10/24/2019 |
MCLAIN, JOHN IV | Supervising Prescribing Practitioner | Medical Doctor | 118207 | 10/24/2019 |
MILLARD, CHRISTOPHER J DO | Supervising Prescribing Practitioner | Osteopathic Physician | 6911 | 10/24/2019 |
MIRANDA GONZALEZ, EDGAR JAVIER | Supervising Prescribing Practitioner | Medical Doctor | 132070 | 10/24/2019 |
MOLINS, CAROLINE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 107349 | 10/24/2019 |
MORA MONTERO, CLARA JULIANA | Supervising Prescribing Practitioner | Medical Doctor | 122709 | 10/24/2019 |
NAZARIO, STEVEN | Supervising Prescribing Practitioner | Medical Doctor | 87429 | 10/24/2019 |
NEVALA, WAYNE MICHAEL M D | Supervising Prescribing Practitioner | Medical Doctor | 83654 | 10/24/2019 |
NICHOLS, PATRICIA | Supervising Prescribing Practitioner | Medical Doctor | 89338 | 10/24/2019 |
NOBIE, BRIAN A | Supervising Prescribing Practitioner | Medical Doctor | 87679 | 10/24/2019 |
OAKLEY, ANGELA GARCIA M D | Supervising Prescribing Practitioner | Medical Doctor | 56710 | 10/23/2019 |
O'BRIEN, PAUL BLAKE MD | Supervising Prescribing Practitioner | Medical Doctor | 95514 | 10/24/2019 |
O'GRADY, LISA M | Supervising Prescribing Practitioner | Medical Doctor | 69380 | 10/24/2019 |
PAGE, ERNEST II | Supervising Prescribing Practitioner | Medical Doctor | 78546 | 10/24/2019 |
PERRY, PAMELA MARIA MD | Supervising Prescribing Practitioner | Medical Doctor | 108679 | 10/24/2019 |
PICKETT, MICHAEL JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 124561 | 10/24/2019 |
POOLE, RICHARD M DO | Supervising Prescribing Practitioner | Osteopathic Physician | 13735 | 10/24/2019 |
PUTIGNA, FLORIANO | Supervising Prescribing Practitioner | Osteopathic Physician | 8905 | 10/24/2019 |
REYES SANTOS, ALEX FRANCISCO | Supervising Prescribing Practitioner | Medical Doctor | 132290 | 10/24/2019 |
RODRIGUEZ, EDGARDO MD | Supervising Prescribing Practitioner | Medical Doctor | 65647 | 10/24/2019 |
RODRIGUEZ, MARITZA RODRIGUEZ | Supervising Prescribing Practitioner | Medical Doctor | 69301 | 10/24/2019 |
RUTLEDGE, AMANDA CRICHLOW | Supervising Prescribing Practitioner | Medical Doctor | 130563 | 10/24/2019 |
SANDERS, BRETT DOUGLAS | Supervising Prescribing Practitioner | Medical Doctor | 115172 | 10/24/2019 |
SANTAMBROSIO, MARC | Supervising Prescribing Practitioner | Osteopathic Physician | 8725 | 10/24/2019 |
SARKARATI, DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 9010 | 10/24/2019 |
SECREST, JULIE K | Supervising Prescribing Practitioner | Medical Doctor | 110718 | 10/24/2019 |
SIMMONDS, YARELIES MALAVE | Supervising Prescribing Practitioner | Medical Doctor | 126238 | 10/24/2019 |
SING, WEYLIN | Supervising Prescribing Practitioner | Osteopathic Physician | 8721 | 10/24/2019 |
SMOLTER, PATRICIA ELIZABETH | Supervising Prescribing Practitioner | Osteopathic Physician | 12707 | 10/24/2019 |
TEMPEL, RICHARD ANDREW MD | Supervising Prescribing Practitioner | Medical Doctor | 102329 | 10/24/2019 |
THABET, ASHRAF | Supervising Prescribing Practitioner | Osteopathic Physician | 11277 | 10/24/2019 |
THOMETZ, DONALD PAUL | Supervising Prescribing Practitioner | Medical Doctor | 130218 | 10/24/2019 |
THOMPSON, HOLLY JEAN | Supervising Prescribing Practitioner | Medical Doctor | 126424 | 10/24/2019 |
TOMECSEK, KEVIN JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 123302 | 10/24/2019 |
VANDERVELDE, KRISTEN C | Supervising Prescribing Practitioner | Osteopathic Physician | 12002 | 10/24/2019 |
WARTELLA, JOHN DOUGLAS MD | Supervising Prescribing Practitioner | Medical Doctor | 99649 | 10/23/2019 |
WEAGRAFF, NATHAN ZACHARY | Supervising Prescribing Practitioner | Medical Doctor | 123030 | 10/23/2019 |
WEST, HAROLD KENNETH JR | Supervising Prescribing Practitioner | Medical Doctor | 36939 | 10/23/2019 |
WHEELER, MARERIL | Supervising Prescribing Practitioner | Medical Doctor | 126534 | 10/23/2019 |
YORKE, JENNIFER A | Supervising Prescribing Practitioner | Osteopathic Physician | 13134 | 10/24/2019 |
YOUNG, VICTOR CHANCE | Supervising Prescribing Practitioner | Osteopathic Physician | 8339 | 10/24/2019 |
ZAYAS MALDONADO, DAY ONILL | Supervising Prescribing Practitioner | Medical Doctor | 131573 | 10/23/2019 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BIGGS, FREDERICK SCOTT | Prescribing Physician Assistant | Physician Assistant | 9103660 | 7/24/2021 |
GREENE, RICHARD MICHAEL | Prescribing Physician Assistant | Physician Assistant | 9106015 | 7/24/2021 |
JOHNSON, IAN JAMES | Prescribing Physician Assistant | Physician Assistant | 9110730 | 7/24/2021 |
LEBLANC, JILL ELIZABETH | Prescribing Physician Assistant | Physician Assistant | 9114533 | 7/24/2021 |
MILLER, LISA ANN | Prescribing Physician Assistant | Physician Assistant | 9102983 | 7/24/2021 |
VOGT, JASON M | Prescribing Physician Assistant | Physician Assistant | 9107868 | 7/24/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 11/23/2024
* 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.