License Verification

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ROBERT JAMES MAZALEWSKI

License Number: PA9106041

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9106041
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2011
Address of Record
1470 W BYRON APT 1
CHICAGO, IL 60613-7031
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
AKRI, ELIEZER Supervising Prescribing Practitioner Osteopathic Physician 8887 03/08/2017
BENTLEY, THOMAS PATRICK Supervising Prescribing Practitioner Medical Doctor 94258 03/08/2017
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/14/2018
GIBBONS, MICHAEL THOMAS MR Supervising Prescribing Practitioner Medical Doctor 101919 03/02/2018
GILLETTE, GARY WILLIAM MD Supervising Prescribing Practitioner Medical Doctor 79320 03/08/2017
HAMODI, AHMED ABDULGHANI Supervising Prescribing Practitioner Medical Doctor 75198 09/14/2018
HOELLE, ROBYN MARIE Supervising Prescribing Practitioner Medical Doctor 93794 03/08/2017
LEONARD, THOMAS K M D Supervising Prescribing Practitioner Medical Doctor 73798 07/14/2017
LOEBIG, MARK FRANCIS Supervising Prescribing Practitioner Medical Doctor 39200 03/08/2017
MAGEE, CHARLES VERNON MD Supervising Prescribing Practitioner Medical Doctor 131040 03/02/2018
MARTIN, DAVID LUTHER Supervising Prescribing Practitioner Medical Doctor 101649 02/28/2017
MONK, TAMARA Supervising Prescribing Practitioner Medical Doctor 90861 03/08/2017
PATEL, RAVI J Supervising Prescribing Practitioner Osteopathic Physician 14434 07/14/2017
POTTER, OLIVIA LAUREN DO Supervising Prescribing Practitioner Osteopathic Physician 13209 03/08/2017
RAWAL, AMIT R Supervising Prescribing Practitioner Medical Doctor 103948 03/08/2017
STERN, EVAN RUSSELL Supervising Prescribing Practitioner Medical Doctor 96023 03/08/2017

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Name Relationship Profession License Effective Date
WILLEY, OLIVIA SHAW Prescribing Physician Assistant Physician Assistant 9107629 7/1/2021

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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.