License Verification

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JON DICK WIESE MD

License Number: ME54060

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME54060
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/17/1988
Address of Record
1860 WINGFIELD DRIVE
LONGWOOD, FL 32779
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
ADIGWEME, OBINNA Supervisor Medical Doctor 133150 02/08/2018
BRYANT, CHRISTOPHER SCOTT MD Supervisor Medical Doctor 122592 02/06/2018
CASTILLO, EMERITA RAFAELA Supervisor Medical Doctor 113043 02/01/2018
CHUDGAR, PRANAV BIPIN Supervisor Medical Doctor 110738 02/12/2018
DIAZ, DENNIS FERNANDO Supervisor Medical Doctor 107205 02/08/2018
EMTAGE, JUSTIN BRUCE Supervisor Medical Doctor 133329 02/01/2018
HENRY, ROSANNE MARIE Supervisor Medical Doctor 127424 02/12/2018
JOHNSON, MEGAN LEE Supervisor Medical Doctor 119250 02/10/2018
MCCRAY, DEVINA KOMALAWATI SIREGAR Supervisor Medical Doctor 107029 02/01/2018
MCELVEEN, TIMOTHY STEVE Supervisor Medical Doctor 133294 02/01/2018
NOWICKI, KEVIN DONALD Supervisor Medical Doctor 62806 02/01/2018
OSHODI, TEMITOPE ABIOLA Supervisor Medical Doctor 123887 02/06/2018
PATEL, PRIYA Supervisor Medical Doctor 127186 02/08/2018
RONDON VERENZUELA, LUISANGEL Supervisor Medical Doctor 134642 02/01/2018
SENSOR, STACEY LORRAINE Supervisor Osteopathic Physician 13177 02/01/2018
VARGAS ABELLO, LINA MARIA Supervisor Medical Doctor 126900 02/01/2018

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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.