License Verification

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KELSIE ELISHA LAW

License Number: PA9104611

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9104611
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2008
Address of Record
1700 SOUTH TAMIAMI TRAIL
SARASOTA, FL 34239
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2712 Bradenton Rd
SARASOTA, FL 34234
Address
6331 South Tamiami Trail
SARASOTA, FL 34231
Address
1040 River Heritage Blvd
BRADENTON, FL 34212
Address
500 John Ringling Blvd
SARASOTA, FL 34236
Address
997 N. US 41 Bypass
VENICE, FL 34285
Address
5360 University Parkway
SARASOTA, FL 34231
Address
5590 Bee Ridge Rd
SARASOTA, FL 34233
Address
2345 Bobcat Village Center Rd
SARASOTA, FL 34233
Address
2345 BOBCAT VILLAGE CENTER RD NORTHPORT EMERGENCY ROOM
NORTHPORT, FL 34288
Address
6331 S. Tamiami Trail Urgent Care Center @ Stickney Point
SARASOTA, FL 34231
Address
997 N US 41 BYPASS URGENT CARE CENTER AT VENICE
VENICE, FL 34285
Address
5590 BEE RIDGE ROAD, BLDG. A URGENT CARE CENTER AT BEE RIDGE
SARASOTA, FL 34233
Address
5360 UNIVERSITY PARKWAY UNIVERSITY PARKWAY URGENT CARE CENTER
SARASOTA, FL 34243
Address
1040 RIVER HERITAGE BLVD. HERITAGE HARBOUR WALK-IN CLINIC
BRADENTON, FL 34212
Address
500 JOHN RINGLING BLVD. ST. ARMAND'S WALK-IN CLINIC
SARASOTA, FL 34236
Name Relationship Profession License Effective Date
BENIONI, TEARIKIRANGI ELIJAH Supervising Prescribing Practitioner Medical Doctor 106942 03/03/2016
HOLLAND, REUBEN WRIGHT III Supervising Dispensing Practitioner Medical Doctor 55507 08/20/2020
NEWCOMB, CHRISTOPHER FREDERICK Supervising Prescribing Practitioner Medical Doctor 99075 01/13/2017

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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 11/22/2024



* 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.