License Verification

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DAVID ALAN LICKSTEIN MD

License Number: ME84765

Data As Of 8/15/2025

Profession
Medical Doctor
License
ME84765
License Status
Clear/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/18/2002
Address of Record
5540 PGA Boulevard
Suite 200
PALM BEACH GARDENS, FL 33418
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
11701 Lake Victoria Gardens Av Suite 3110
PALM BEACH GARDENS, FL 33410
Address
10799 św tradition square
PORT SAINT LUCIE, FL 34987
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
EVANS, KATIA SANCHEZ Prescribing Physician Assistant Physician Assistant 9114913 7/25/2023
FASANELLA, SHAYNA MARIE Prescribing Physician Assistant Physician Assistant 9112616 10/28/2019
FORLEITER, AMY MIRIAM Prescribing Physician Assistant Physician Assistant 9109681 6/1/2024
NAUGLE, CHRISTINA HOBGOOD Prescribing Physician Assistant Physician Assistant 9106456 3/1/2017
VERDREAM, LEAH LEHR Prescribing Physician Assistant Physician Assistant 9104771 10/1/2021

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 8/15/2025



* 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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