License Verification

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DAVID BAHMAN DEAN

License Number: ME78794

Data As Of 7/7/2024

Profession
Medical Doctor
License
ME78794
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/18/1999
Address of Record
2404 US HIGHWAY 19
HOLIDAY, FL 34691
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13256 SR.54
ODESSA, FL 33556
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BANKS, ASHLEY E Prescribing Physician Assistant Physician Assistant 9112778 11/3/2023
BASS, KEVIN WILLIAM Dispensing Physician Assistant Physician Assistant 9108412 7/11/2022
BASS, KEVIN WILLIAM Prescribing Physician Assistant Physician Assistant 9108412 7/11/2022
BATAILLE, DANIELA Prescribing Physician Assistant Physician Assistant 9113731 11/3/2023
DAVID, SHADIN THOMAS Prescribing Physician Assistant Physician Assistant 9108802 11/3/2023
FREBURG, KALLIOPE JOHANNA Dispensing Physician Assistant Physician Assistant 9111233 2/8/2019
FREBURG, KALLIOPE JOHANNA Prescribing Physician Assistant Physician Assistant 9111233 5/31/2018
KINSEY, DANIELLE MARIA Dispensing Physician Assistant Physician Assistant 9103937 5/18/2017
KINSEY, DANIELLE MARIA Prescribing Physician Assistant Physician Assistant 9103937 5/18/2017
KINSEY, JAMIE RENE Prescribing Physician Assistant Physician Assistant 9106162 11/3/2023
MICHAELS, LAURA PA-C Prescribing Physician Assistant Physician Assistant 9106371 11/10/2022
ODOH, STEPHANIE Prescribing Physician Assistant Physician Assistant 9114554 11/3/2023
OUTTEN, STEPHEN S Prescribing Physician Assistant Osteopathic Physician 11449 12/19/2019
RICHTER, KATHLEEN JACOBSEN Prescribing Physician Assistant Physician Assistant 9112206 1/12/2023
TERSHESHEE, STEVEN JUPITER Prescribing Physician Assistant Physician Assistant 9105306 11/3/2023
VIDAL, OCTAVIO JAVIER Prescribing Physician Assistant Medical Doctor 114923 12/19/2019
WALSH, LAURA LEIGH Dispensing Physician Assistant Physician Assistant 9104112 2/8/2019
WALSH, LAURA LEIGH Prescribing Physician Assistant Physician Assistant 9104112 1/23/2015

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/7/2024



* 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.