License Verification

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SRINIVAS MUDUNDI RAJU

License Number: ME88683

Data As Of 4/25/2025

Profession
Medical Doctor
License
ME88683
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
09/11/2003
Address of Record
Bldg A 4790 Barkley Cir
4790 BARKLEY CIRCLE
FORT MYERS, FL 33907-7593
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
HYSKO, JILLIAN Prescribing Physician Assistant Physician Assistant 9117840 12/10/2024
JIVIDEN, DANIELLE NICOLE Prescribing Physician Assistant Physician Assistant 9115006 4/12/2024
RACKARD, MEGAN Prescribing Physician Assistant Physician Assistant 9114986 4/12/2024
SULLIVAN, LEIA Prescribing Physician Assistant Physician Assistant 9118070 4/12/2024

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 4/25/2025



* 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.