License Verification
WILLIAM WARD CRISSMAN
License Number: PA9105322
Data As Of 11/24/2024
- Address
- 3625 University Blvd S.
- JACKSONVILLE, FL 32216
- Address
- 340 NW Commerce Dr.
- LAKE CITY, FL 32055
- Address
- 11850 Atlantic Blvd
- JACKSONVILLE, FL 32225
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
AIELLO, JAMES JOHN | Supervising Prescribing Practitioner | Medical Doctor | 113843 | 04/19/2018 |
ALEMAN-BERMUDEZ, JAIME J | Supervising Prescribing Practitioner | Medical Doctor | 49940 | 04/19/2018 |
ALONSO, LEONARDO LAZARO | Supervising Prescribing Practitioner | Osteopathic Physician | 6584 | 04/19/2018 |
AMIN, SHILPA KIRIT | Supervising Prescribing Practitioner | Medical Doctor | 118558 | 04/19/2018 |
ARAGONA, JODI L | Supervising Prescribing Practitioner | Medical Doctor | 100638 | 04/19/2018 |
ATTLESEY, MARK GRAHAM | Supervising Prescribing Practitioner | Medical Doctor | 71653 | 04/19/2018 |
BAKOR, NADIA | Supervising Prescribing Practitioner | Medical Doctor | 131303 | 04/19/2018 |
BHANJI, WYLENE NOLAN | Supervising Prescribing Practitioner | Osteopathic Physician | 9034 | 04/19/2018 |
BLAKE, STEVEN MITCHELL M D | Supervising Prescribing Practitioner | Medical Doctor | 58519 | 04/19/2018 |
BRACE, RONALD JOHN | Supervising Prescribing Practitioner | Medical Doctor | 120282 | 04/19/2018 |
CHAPMAN, JENNIFER COLES | Supervising Prescribing Practitioner | Medical Doctor | 125751 | 04/19/2018 |
CHEANVECHAI, DAYCHA | Supervising Prescribing Practitioner | Medical Doctor | 76415 | 04/19/2018 |
CHRISTEN, NEIL LEONARD | Supervising Prescribing Practitioner | Medical Doctor | 129370 | 04/19/2018 |
CURRIE, MICHAEL JOHN | Supervising Prescribing Practitioner | Osteopathic Physician | 14738 | 04/19/2018 |
DAVIS, DAVID RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 96442 | 04/19/2018 |
DEJESUS, OTILIA | Supervising Prescribing Practitioner | Medical Doctor | 105497 | 04/25/2019 |
EUWEMA, MICHAEL SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 91648 | 04/19/2018 |
FORSTER, JOHN GEORGE III | Supervising Prescribing Practitioner | Medical Doctor | 69993 | 04/19/2018 |
FRALEY, PAUL RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 134133 | 05/16/2018 |
GOODFRIEND, STEVEN DAVID | Supervising Prescribing Practitioner | Medical Doctor | 84608 | 04/19/2018 |
GRIGSBY, ROBERT LEE III | Supervising Prescribing Practitioner | Medical Doctor | 34609 | 04/19/2018 |
GYARMATHY, RAYMOND HOWARD | Supervising Prescribing Practitioner | Medical Doctor | 53513 | 04/19/2018 |
HAYES, JAMES D JR | Supervising Prescribing Practitioner | Medical Doctor | 42140 | 04/19/2018 |
HOIDA, JEFFREY SCOTT MD | Supervising Prescribing Practitioner | Medical Doctor | 136257 | 04/25/2019 |
HOIDA, SHIELDS DUSS | Supervising Prescribing Practitioner | Medical Doctor | 125526 | 04/25/2019 |
HUMPHRIES, JERRY FRANKLIN JR | Supervising Prescribing Practitioner | Medical Doctor | 112733 | 04/19/2018 |
JENKINS, FREDERICK LUCAS | Supervising Prescribing Practitioner | Medical Doctor | 83245 | 04/19/2018 |
JOHNSON, JENNIFER BURKE | Supervising Prescribing Practitioner | Medical Doctor | 115159 | 04/19/2018 |
KEENER, JANEL LAURA | Supervising Prescribing Practitioner | Medical Doctor | 115434 | 04/19/2018 |
KING, FORREST JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 124146 | 04/19/2018 |
KING, KENNETH | Supervising Prescribing Practitioner | Osteopathic Physician | 8648 | 04/19/2018 |
KOURY, RONALD FORREST D O | Supervising Prescribing Practitioner | Osteopathic Physician | 8090 | 04/19/2018 |
LAMOND, RYAN DANIEL | Supervising Prescribing Practitioner | Medical Doctor | 106090 | 04/19/2018 |
MANTHA, KALYAN C | Supervising Prescribing Practitioner | Medical Doctor | 122523 | 09/20/2018 |
MATHAI, ALEX | Supervising Prescribing Practitioner | Medical Doctor | 122229 | 04/19/2018 |
MENZE, ROGER MICHEEL | Supervising Prescribing Practitioner | Medical Doctor | 68199 | 04/19/2018 |
MULLIS, JERRY WILLIAM JR | Supervising Prescribing Practitioner | Medical Doctor | 74778 | 04/19/2018 |
OLIVER, RADAMES ALBERTO | Supervising Prescribing Practitioner | Medical Doctor | 67906 | 04/19/2018 |
PAPAVASILIOU, JOHN JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 66371 | 04/19/2018 |
QUADER, MOHAMMED AZIZUL | Supervising Prescribing Practitioner | Medical Doctor | 91402 | 04/19/2018 |
ROSADO, MELISSA | Supervising Prescribing Practitioner | Medical Doctor | 125407 | 04/19/2018 |
SEROTOFF, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 134259 | 05/16/2018 |
SHEFFLER, MARK ALLEN | Supervising Prescribing Practitioner | Medical Doctor | 124817 | 04/19/2018 |
SOUD, JOHN CALEIST D O | Supervising Prescribing Practitioner | Osteopathic Physician | 8420 | 04/19/2018 |
STERN, NEIL DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 8723 | 04/19/2018 |
SWANSON, TERRELL E JOHN | Supervising Prescribing Practitioner | Medical Doctor | 111251 | 04/19/2018 |
THOMAS, ROBERT LOUIS | Supervising Prescribing Practitioner | Osteopathic Physician | 8592 | 04/19/2018 |
WARD, JILL ANGELA | Supervising Prescribing Practitioner | Medical Doctor | 110689 | 04/19/2018 |
WARRINGTON, STEVEN | Supervising Prescribing Practitioner | Medical Doctor | 131907 | 04/19/2018 |
WHEELER, MARERIL | Supervising Prescribing Practitioner | Medical Doctor | 126534 | 04/19/2018 |
WINNINGHAM, DAVID JASON | Supervising Prescribing Practitioner | Osteopathic Physician | 12586 | 01/19/2018 |
WOOD, STEPHANIE KAREN | Supervising Prescribing Practitioner | Medical Doctor | 35012 | 04/19/2018 |
ZAGER, SCOTT LAWRENCE | Supervising Prescribing Practitioner | Medical Doctor | 91062 | 04/19/2018 |
ZERNIAL, CHRISTOPHER B | Supervising Prescribing Practitioner | Medical Doctor | 131593 | 04/19/2018 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 11/24/2024
* 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.