License Verification

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COURTNEY LEE BENNETT-WILKE

License Number: PA9105489

Data As Of 6/19/2025

Profession
Physician Assistant
License
PA9105489
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/22/2010
Address of Record
1300 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2633 Centennial Boulevard TMH PHYSICIAN PARTNERS, ENDOCRINOLOGY SPECIALIST
TALLAHASSEE, FL 32308
Address
1541 MEDICAL DRIVE URGENT CARE CENTER TALLAHASSEE MEMORIAL HOSPITAL
TALLAHASSEE, FL 32308
Address
178 LASALLE LEFALL DRIVE PHYSICIAN PARTNERS QUINCY TALLAHASSEE MEMORIAL HOSPITAL
QUINCY, FL 32351
Name Relationship Profession License Effective Date
FREEMAN, LANCE MICHEEL Supervising Prescribing Practitioner Medical Doctor 138452 02/20/2020
KAFROUNI GERGES, ANTONI R Supervising Prescribing Practitioner Medical Doctor 139402 02/20/2020
TARAZI, MOHAMAD SIRRI Supervising Prescribing Practitioner Medical Doctor 132866 02/20/2020

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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 6/19/2025



* 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.


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.