License Verification

Printer Friendly Version

ASHLEY WANZER

License Number: PA9112753

Data As Of 7/1/2024

Profession
Physician Assistant
License
PA9112753
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/23/2019
Address of Record
3450 Flightline Dr
LAKELAND, FL 33811
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
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 07/19/2023
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 07/19/2023
ANDERSON, HAL Supervising Prescribing Practitioner Medical Doctor 162015 07/19/2023
ARENDS, DREW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16069 07/19/2023
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 07/19/2023
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 07/19/2023
ATLAS, YELENA Supervising Prescribing Practitioner Medical Doctor 149603 07/19/2023
BALLARINI, V JOSEPH JOHN Supervising Prescribing Practitioner Osteopathic Physician 11220 10/01/2023
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 07/19/2023
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 07/19/2023
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 07/19/2023
BLACKMAN, ABIGAIL SHNITER Supervising Prescribing Practitioner Medical Doctor 127220 07/19/2023
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 07/19/2023
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/25/2023
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 09/25/2023
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/01/2023
BUCHANAN, CURTIS BLAKE Supervising Prescribing Practitioner Medical Doctor 131632 07/19/2023
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
BULTRON-RODRIGUEZ, CRISTINA Supervising Prescribing Practitioner Medical Doctor 98867 07/19/2023
CARDONA, LINA M Supervising Prescribing Practitioner Medical Doctor 156483 10/15/2023
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 07/19/2023
CHERIAN, LESLIE Supervising Prescribing Practitioner Osteopathic Physician 16969 07/19/2023
CHRYSTAL, SEAN ALLAN Supervising Prescribing Practitioner Osteopathic Physician 18317 07/19/2023
CIRILLO, LOUIS ANTHONY Supervising Prescribing Practitioner Medical Doctor 136104 07/19/2023
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 07/19/2023
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 07/19/2023
CROWE, DONALD W Supervising Prescribing Practitioner Medical Doctor 43726 07/19/2023
CUEVAS, DANIEL LIM Supervising Prescribing Practitioner Medical Doctor 129675 07/19/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 09/15/2023
D'AMBROSIO, ASHLEY JANE Supervising Prescribing Practitioner Medical Doctor 150911 07/19/2023
DAMIANO, THOMAS R Supervising Prescribing Practitioner Medical Doctor 147160 07/19/2023
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 07/19/2023
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 07/19/2023
DELK, GERALD TYREE Supervising Prescribing Practitioner Medical Doctor 153552 07/19/2023
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 07/19/2023
DEWAN, VAIL LEE MD Supervising Prescribing Practitioner Medical Doctor 93083 07/19/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 07/19/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 07/19/2023
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 07/19/2023
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 07/19/2023
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 07/19/2023
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 07/19/2023
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/01/2023
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
PASHEGOBA, STEVEN LEE Supervising Prescribing Practitioner Physician Assistant 9101722 11/01/2023
ROCKLER, KENDALL MICHELLE Supervising Prescribing Practitioner Medical Doctor 114880 12/01/2023

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 7/3/2024



* 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.