License Verification

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RAFAEL QUIROZ

License Number: PA9102196

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9102196
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
09/23/2002
Address of Record
18203 Pines Blvd
PEMBROKE PINES, FL 33029
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
BASULTO, DANIEL JAVIER M D Supervising Prescribing Practitioner Medical Doctor 81034 10/26/2026
CHUA, RAYMUND MORELOS Supervising Prescribing Practitioner Medical Doctor 95592 10/26/2026
CUBAS, FELIPE LUIS M D Supervising Prescribing Practitioner Medical Doctor 56199 10/26/2026
HIDALGO, AUSBERTO BIENVENIDO Supervising Prescribing Practitioner Medical Doctor 53208 10/26/2026
KRISHTUL, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 111303 10/26/2026
LISTOE, GREGORY BERNARD Supervising Prescribing Practitioner Medical Doctor 80415 10/26/2026
LIZARAZO, IVAN EDUARDO Supervising Prescribing Practitioner Medical Doctor 110629 10/26/2026
LOPEZ, ROBERT JEFFREY Supervising Prescribing Practitioner Medical Doctor 102974 10/26/2026
MCKREITH, TRACEY ALICIA Supervising Prescribing Practitioner Medical Doctor 116119 10/26/2026
SNEDDON, JOCK M Supervising Prescribing Practitioner Medical Doctor 22541 10/26/2026
TUCKER, ANTHONY Supervising Prescribing Practitioner Medical Doctor 120268 10/26/2026

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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 10/27/2026



* 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.