License Verification

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KATHERYN KNUTSON

License Number: PA3657

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA3657
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/13/1998
Address of Record
13911 Lake Mahogany Blvd #2911
FORT MYERS, FL 33907
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
23450 Via Coconut Point
ESTERO, FL 33928
Address
2776 CLEVELAND AVE. LEE MEMORIAL HOSPITAL
FORT MYERS, FL 33901
Address
9881 HEALTHPARK CIRCLE HEALTH PARK MEDICAL CENTER
FORT MYERS, FL 33908
Name Relationship Profession License Effective Date
BACKSTROM, IAN CHARLES Supervising Prescribing Practitioner Medical Doctor 122968 01/11/2018
BOYETTE, LEAH BAKER Supervising Prescribing Practitioner Medical Doctor 120217 01/11/2018
BRYCE, SUZANNE NELLIE Supervising Prescribing Practitioner Medical Doctor 131421 03/29/2019
DALLEY, ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 40732 01/11/2018
DUNN, CARRIE STRAUSS Supervising Prescribing Practitioner Medical Doctor 93425 01/11/2018
DUNN, MICHAEL ROBERTS Supervising Prescribing Practitioner Medical Doctor 81601 01/11/2018
FELT, SUZANNE ELIZABETH MD Supervising Prescribing Practitioner Medical Doctor 101268 01/11/2018
FELT, WILLIAM MARK III Supervising Prescribing Practitioner Medical Doctor 101243 01/11/2018
FORTIER, GLEN THOMAS MD Supervising Prescribing Practitioner Medical Doctor 52203 01/11/2018
GOLDNER, DAVID ELIOT Supervising Prescribing Practitioner Medical Doctor 111954 01/11/2018
GOSTIGIAN, JAMES SATROG Supervising Prescribing Practitioner Medical Doctor 59961 01/11/2018
GUPTA, TUSHAR Supervising Prescribing Practitioner Medical Doctor 136529 03/29/2019
HOWELL, ROGER A Supervising Prescribing Practitioner Osteopathic Physician 5678 01/11/2018
INGRAM, JEREMY DAVID Supervising Prescribing Practitioner Osteopathic Physician 10697 01/11/2018
KENNEDY, DANIEL PATRICK MD Supervising Prescribing Practitioner Medical Doctor 83340 01/11/2018
LAOANG, JEFFREY G Supervising Prescribing Practitioner Medical Doctor 94885 01/11/2018
LEE, DOUGLAS S Supervising Prescribing Practitioner Medical Doctor 94545 01/11/2018
LOZIER, STEPHEN JAMES Supervising Prescribing Practitioner Medical Doctor 126744 03/29/2019
MACCHIAROLI, RICHARD CARMINE Supervising Prescribing Practitioner Medical Doctor 79168 01/11/2018
ONDRAKO, DAVID M Supervising Prescribing Practitioner Medical Doctor 138117 03/29/2019
PHILIP, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 133186 03/29/2019
PONDER, CHRISTOPHER HAWTHORNE Supervising Prescribing Practitioner Medical Doctor 127669 03/29/2019
ROBBEN, CHRISTOPHER NORMAN Supervising Prescribing Practitioner Medical Doctor 86324 01/11/2018
SATLOFF, SARA PATRICIA Supervising Prescribing Practitioner Medical Doctor 113578 01/11/2018
TANN, CHRISTOPHER WILLIAM Supervising Prescribing Practitioner Medical Doctor 125713 01/11/2018
TENNYSON, JUSTIN JAMES Supervising Prescribing Practitioner Medical Doctor 133457 03/29/2019
THURLING, DENISE CONLEY MD Supervising Prescribing Practitioner Medical Doctor 101347 01/11/2018
WILSON, JASON TODD Supervising Prescribing Practitioner Medical Doctor 82009 01/11/2018
WOHL, AARON ANTHONY Supervising Prescribing Practitioner Medical Doctor 90567 01/11/2018
ZIMMERMAN, HENRY WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 102953 01/11/2018

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.