License Verification

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KERRI ELESE WEST

License Number: OS18404

Data As Of 5/19/2024

Profession
Osteopathic Physician
License
OS18404
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
12/21/2021
Address of Record
2733 Edgewater Dr
NICEVILLE, FL 32578
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
CUPO, WILLIAM WALTER MD Supervising Prescribing Practitioner Medical Doctor 86389 09/14/2022

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Name Relationship Profession License Effective Date
AMBROSE, JESSICA Prescribing Physician Assistant Physician Assistant 9110160 10/20/2021
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 10/20/2021
BRUNIOUS, BURNELL PAUL Prescribing Physician Assistant Medical Doctor 104848 10/20/2021
BULLMAN, JONATHAN FAIN Prescribing Physician Assistant Physician Assistant 9107709 10/20/2021
CRINER, ROGER D JR Prescribing Physician Assistant Medical Doctor 114331 10/20/2021
EVERETT, WARREN UMANDAP Prescribing Physician Assistant Physician Assistant 9105831 10/20/2021
FISHER, ALLEN MICHAEL Prescribing Physician Assistant Osteopathic Physician 6992 10/20/2021
GLEASON, RHONDA LEE Prescribing Physician Assistant Physician Assistant 9115553 2/8/2022
HARRIS, HILLEL ZVI MD Prescribing Physician Assistant Medical Doctor 102298 10/20/2021
HURTADO, DENNIS M Prescribing Physician Assistant Medical Doctor 105326 10/20/2021
PATEL, JAIMIN BALWANT M D Prescribing Physician Assistant Medical Doctor 104797 10/20/2021
PATRONIS ADAMS, MARIA Prescribing Physician Assistant Physician Assistant 9111206 10/20/2021
ROMAN, JULIE Prescribing Physician Assistant Physician Assistant 9111426 8/18/2023
SAMSON, JESSICA AURELIO Prescribing Physician Assistant Physician Assistant 9103076 10/20/2021
SIMMONS, LEONARD WILLIAM Prescribing Physician Assistant Physician Assistant 9103209 10/20/2021
THOMPSON, TOMMY GLEN II Prescribing Physician Assistant Medical Doctor 128635 10/20/2021
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 10/20/2021
WINDFELDER, CHARLES BERNARD Prescribing Physician Assistant Physician Assistant 9103273 10/20/2021

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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.