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KATELYN NICOLE VAN DE WATER

License Number: AA544

Data As Of 11/23/2024

Profession
Anesthesiologist Assistant
License
AA544
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/23/2019
Address of Record
13350 Metro Parkway, Ste 301
FORT MYERS, FL 33966
Discipline on File
No
Public Complaint
No
Address
636 Del Prado Boulevard S
CAPE CORAL, FL 33990
Name Relationship Profession License Effective Date
ABALO, MIGUEL RUBEN SUPERVISOR for AA Medical Doctor 148050 08/09/2021
ALMQUIST, ARIEL MARIE Supervising ME Medical Doctor 162389 02/16/2024
ANDRADE, DIEGO PATRICIO Supervising ME Medical Doctor 87283 02/16/2024
APPELGREN, REBECCA Supervising ME Medical Doctor 133004 10/09/2019
BANOONI, ANDREW BOBY SUPERVISOR for AA Medical Doctor 147571 03/04/2021
BANOONI, ANDREW BOBY Supervising ME Medical Doctor 147571 02/16/2024
BOMMARITO, HILARY FORD Supervising ME Medical Doctor 146997 02/16/2024
BROWN, CHARLES STUART Supervising ME Medical Doctor 66325 10/09/2019
BRYAN, JOSEPH MICHAEL Supervising ME Medical Doctor 60770 10/09/2019
CHAVEZ, CARLOS LIGHDANO Supervising ME Medical Doctor 90176 10/09/2019
COLLAZO, JOHN PAUL Supervising ME Medical Doctor 138223 10/09/2019
COLON-BENNETT, JEFFREY ERNESTO Supervising ME Medical Doctor 69508 10/09/2019
DAMIANI RIVERA, JUAN ANTONIO Supervising ME Medical Doctor 77195 10/09/2019
DRESSLER, BRIAN PATRICK SUPERVISOR for AA Osteopathic Physician 10123 10/09/2019
DUNN, JOHN STEPHEN SUPERVISOR for AA Osteopathic Physician 9638 10/09/2019
EVANS, RAYMOND MYERS III Supervising ME Medical Doctor 102748 02/16/2024
FAISAL, SHAJI Supervising ME Medical Doctor 143306 09/01/2020
FEVRIER, RITCHIE ANTOINE Supervising ME Medical Doctor 95718 10/09/2019
GAAR, MICAH DAVID Supervising ME Medical Doctor 126954 10/09/2019
GEZZAR, WILLIAM W Supervising ME Medical Doctor 45799 10/09/2019
GREGG, RALPH Supervising ME Medical Doctor 58967 10/09/2019
GUPTA, CHAKRAPANI DUTTA Supervising ME Medical Doctor 94092 10/09/2019
HERENSTEIN, ROBERT MICHAEL Supervising ME Medical Doctor 132043 02/16/2024
KRAUSS, DANIEL JOSEPH Supervising ME Medical Doctor 93353 10/09/2019
LAGREW II, JOSEPH EDWARD Supervising ME Medical Doctor 136448 10/09/2019
LOVETT, RODERICK Supervising ME Medical Doctor 138084 02/02/2020
LUEHRMAN, GLEN ANDREW Supervising ME Medical Doctor 82161 10/09/2019
MARKGRAF, KURT WOLFGANG Supervising ME Medical Doctor 57711 10/09/2019
MCMILLAN, BRIAN SUPERVISOR for AA Osteopathic Physician 15610 10/09/2019
MICHELSEN, MARC ANDREW SUPERVISOR for AA Osteopathic Physician 10131 10/09/2019
O'CONNOR, REBECCA MARIE DO SUPERVISOR for AA Osteopathic Physician 10953 10/09/2019
RITROSKY, STEVEN MARK Supervising ME Medical Doctor 66401 10/09/2019
SCHWARTZ, SHAUNA MARIE SUPERVISOR for AA Osteopathic Physician 17658 02/16/2024
SERDIUK, ANDREW ANTHONY SUPERVISOR for AA Osteopathic Physician 10038 02/16/2024
SHIELDS, ERIC Supervising ME Medical Doctor 151331 02/16/2024
SHIELDS, SARAH Supervising ME Medical Doctor 131948 02/16/2024
SZLABOWICZ, MICHAL RAFAL Supervising ME Medical Doctor 80851 10/09/2019
TUMBARELLO, SALVATORE Supervising ME Medical Doctor 161049 02/16/2024
WEST, BRIAN J Supervising ME Medical Doctor 96795 10/09/2019
WOODRING, STEVEN FREDERICK SUPERVISOR for AA Osteopathic Physician 10008 10/09/2019

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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 11/23/2024



* 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.