License Verification

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MARY ELIZABETH RAULERSON

License Number: PA9105624

Data As Of 7/4/2024

Profession
Physician Assistant
License
PA9105624
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/03/2010
Address of Record
13681 DOCTORS WAY
SOUTHWEST FLORIDA EMERGENCY PHYSICIANS
FORT MYERS, FL 33912
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2776 South Cleveland Ave
FORT MYERS, FL 33901
Address
16281 Bass Road
FORT MYERS, FL 33908
Address
13681 DOCTORS WAY GULF COAST MEDICAL CENTER
FORT MYERS, FL 33912
Address
8380 RIVERWALK PARK BLVD. #100 SUN COAST SURGICAL ASSOCIATES LEE MEMORIAL HEALTH SYSTEM
FT MYERS, FL 33919
Name Relationship Profession License Effective Date
KOKAL, WILLIAM ALLAN Supervising Prescribing Practitioner Medical Doctor 57140 01/11/2012
MITER, DARREN BRUCE DO Supervising Prescribing Practitioner Osteopathic Physician 9676 01/11/2012
MOSS, JOHN A Supervising Prescribing Practitioner Osteopathic Physician 9710 01/11/2012

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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 7/4/2024



* 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.