License Verification

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JUDY JENNIFER ROBERTS DO

License Number: OS9253

Data As Of 11/21/2024

Profession
Osteopathic Physician
License
OS9253
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
06/15/2004
Address of Record
EMERGENCY MEDICINE PROFESSIONA
1530 CORNERSTONE BLVD
STE 120
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
GAO, SHAN MICHELSON Supervisor Medical Doctor 145046 03/10/2021
HARUN, ALYSSA REHANNA Supervisor Osteopathic Physician 16724 03/10/2021
LEE, ROENTGEN KWAN-REN Supervisor Osteopathic Physician 9327 03/10/2021
MACK, RENE SAADIA KERICE Supervisor Medical Doctor 109249 03/10/2021
OLIVETO, SYDNI LAUREN Supervisor Osteopathic Physician 16739 03/10/2021
ONTELL, JAMES GREGORY Supervisor Osteopathic Physician 15243 03/10/2021

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Name Relationship Profession License Effective Date
MCCABE KLINE, KRISTIN BOND Subordinate Medical Doctor 98422 6/14/2021
MCCOLE-PONS, SHARON AURORA Prescribing Physician Assistant Physician Assistant 9108757 10/3/2016
RICCI, ANGELA LYNN Prescribing Physician Assistant Physician Assistant 9105845 10/1/2016
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 10/3/2016
SULLIVAN, THERESE E Prescribing Physician Assistant Physician Assistant 9105974 9/30/2016

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.