License Verification

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KIRSA FRIDAL PEREZ

License Number: ME91119

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME91119
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/30/2004
Address of Record
Veteran Affairs Medical Center
13800 Veterans Way
ORLANDO, FL 32827-5812
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
KELLOCK, HEIDI-MARIE ALEXANDRA M D Subordinate Medical Doctor 114140 9/1/2017
MACKENZIE, WILLIAM CARL Prescribing Physician Assistant Physician Assistant 9112545 10/9/2019

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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.