License Verification

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DEREK LEE EISNOR

License Number: ME74231

Data As Of 6/24/2024

Profession
Medical Doctor
License
ME74231
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/25/1997
Address of Record
Sacred Heart Hospital
5151 North 9th Avenue
PENSACOLA, FL 32504
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

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Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 7/6/2023
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 7/6/2023
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 7/6/2023
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 7/6/2023
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 7/6/2023
GLARDON, CHRISTIAN GEORGES Prescribing Physician Assistant Physician Assistant 9105689 7/6/2023
HANDT, TYLER JASON Prescribing Physician Assistant Physician Assistant 9116177 7/6/2023
HORN, JOHN A Prescribing Physician Assistant Physician Assistant 2200 3/15/2017
JOHNSON, MICHAEL Prescribing Physician Assistant Physician Assistant 9111371 7/6/2023
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 7/6/2023
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 7/6/2023
MORRIS, SCOTT KIMBERLY Prescribing Physician Assistant Physician Assistant 2885 7/6/2023
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 7/6/2023
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 7/6/2023
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 7/6/2023
SALAS, JENNIFER LYNNE Prescribing Physician Assistant Physician Assistant 9104807 7/6/2023
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 7/6/2023
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 7/6/2023
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 7/6/2023
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 7/6/2023
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 7/6/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/24/2024



* 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.