License Verification

Printer Friendly Version

CLAIRE COMMENT

License Number: PA9115578

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9115578
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/26/2022
Address of Record
4524 Mattie St.
S519
AUSTIN, TX 78723
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
BOLTUCH, ANDREW DAVID Supervising Prescribing Practitioner Osteopathic Physician 15092 07/26/2023
CONANT, MARK Supervising Prescribing Practitioner Medical Doctor 137024 07/26/2023
GRAVES, REID VAUGHN Supervising Prescribing Practitioner Medical Doctor 118810 07/26/2023
HUGUET, KEVIN LEE Supervising Prescribing Practitioner Medical Doctor 85676 07/26/2023
LARYNGAKIS, NICHOLAS ARIS Supervising Prescribing Practitioner Medical Doctor 112371 07/26/2023
MENON, SANJAY Supervising Prescribing Practitioner Medical Doctor 109577 07/27/2023
O'BRIEN, JOHN JAMES JR Supervising Prescribing Practitioner Medical Doctor 66063 07/26/2023
OPPENHEIM, ADAM Supervising Prescribing Practitioner Osteopathic Physician 14916 07/26/2023
SHAWCHUCK, KAY MARIE Supervising Prescribing Practitioner Medical Doctor 119762 07/26/2023
SMITH, MICHAEL JUDSON Supervising Prescribing Practitioner Medical Doctor 33957 07/26/2023
SZPILA, BENJAMIN EDWARD Supervising Prescribing Practitioner Medical Doctor 145890 07/26/2023
WILLIAMS, LARRY ROSS Supervising Prescribing Practitioner Medical Doctor 47125 07/26/2023
YANG, CHUN Supervising Prescribing Practitioner Medical Doctor 134134 07/26/2023

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 11/22/2024



* 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.