License Verification

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KRISTIN PFENNIGER BIRKEDAL

License Number: PA9102074

Data As Of 10/28/2026

Profession
Physician Assistant
License
PA9102074
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
07/16/2002
Address of Record
JESUS CLINIC
1630 mason ave
DAYTONA BEACH, FL 32117
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
BIRKEDAL, CHRISTIAN LE FEVRE Supervising Prescribing Practitioner Medical Doctor 84422 10/23/2026
GILMER, WILLIAM L MD Supervising Prescribing Practitioner Medical Doctor 14430 10/23/2026
ROSNER, LAURA BETH Supervising Prescribing Practitioner Medical Doctor 79455 10/23/2026
SNOW, CRAIG ALLEN Supervising Prescribing Practitioner Medical Doctor 69288 10/23/2026

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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 10/28/2026



* 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.