License Verification

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LARRY DOUGLAS VAN FOSSEN

License Number: OS18532

Data As Of 11/16/2024

Profession
Osteopathic Physician
License
OS18532
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
02/07/2022
Address of Record
1350 E Venice Ave
VENICE, FL 34285
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

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Name Relationship Profession License Effective Date
CARBONELL, JAVIER Subordinate Anesthesiologist Assistants 735 11/4/2024
DEROBERTIS, DOMENIC AA Anesthesiologist Assistants 698 4/1/2022
MENDOZA, NICOLE LEA Subordinate Anesthesiologist Assistants 388 8/1/2024
TSONAS, ALANA NOEL AA Anesthesiologist Assistants 820 6/13/2024
WILDING, MATTHEW RICHARD AA Anesthesiologist Assistants 107 10/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/16/2024



* 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.