License Verification

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KENNETH M MILLER

License Number: PA2039

Data As Of 11/1/2026

Profession
Physician Assistant
License
PA2039
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
04/13/1989
Address of Record
12810 chartwell dr
Fort Myers
FT MYERS, FL 33912
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BAYS, MICHAEL WALTER D O Supervising Prescribing Practitioner Osteopathic Physician 6177 10/19/2026
BHALLA, MUNISH KUMAR Supervising Prescribing Practitioner Medical Doctor 103127 10/19/2026
CASOLA, ROBERT P DO Supervising Prescribing Practitioner Osteopathic Physician 5386 10/19/2026
CHADHA, TEJVIR SINGH MD Supervising Prescribing Practitioner Medical Doctor 36582 10/19/2026
CHALLAPALLI, RAHUL KUMAR Supervising Prescribing Practitioner Medical Doctor 105017 10/19/2026
GANATRA, VIJAY DEVIDAS Supervising Prescribing Practitioner Medical Doctor 84201 10/19/2026
LALLA, SUNIL NARAIN Supervising Prescribing Practitioner Medical Doctor 61581 10/19/2026
MEHLMAN, BRUCE MASON Supervising Prescribing Practitioner Medical Doctor 60049 10/19/2026
NASSIF, RODERICK Supervising Prescribing Practitioner Osteopathic Physician 8532 10/19/2026
TORRICELLI, RICHARD JOSEPH Supervising Prescribing Practitioner Medical Doctor 56832 10/19/2026

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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 11/1/2026



* 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.


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