License Verification

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ERIN LEIGH HOGAN

License Number: PA9105744

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9105744
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/21/2010
Address of Record
13670 Walsingham Rd
LARGO, FL 33774-3532
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
KAUZLARICH, JOHN W DO Supervising Prescribing Practitioner Osteopathic Physician 3478 08/07/2019
MAINOR, HENRY FRANK III Supervising Prescribing Practitioner Osteopathic Physician 13401 08/07/2019
WALDREP, NATHAN KEITH Supervising Dispensing Practitioner Medical Doctor 58834 05/01/2022
WALDREP, NATHAN KEITH Supervising Prescribing Practitioner Medical Doctor 58834 05/01/2022

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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 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.