License Verification

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KASSANDRA JEAN CARPENTER

License Number: AA862

Data As Of 6/30/2024

Profession
Anesthesiologist Assistant
License
AA862
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/26/2023
Address of Record
1431 SW 1st Avenue
OCALA, FL 34471
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALGARRA, NELSON NICOLAS SUPERVISOR for AA Medical Doctor 119831 12/01/2023
BLANCHARD, W MARC SUPERVISOR for AA Medical Doctor 147475 12/03/2023
BUTTERMORE, ALEXANDER BIGGS SUPERVISOR for AA Osteopathic Physician 16864 12/01/2023
CHANG, DANIEL B SUPERVISOR for AA Medical Doctor 160762 12/01/2023
GAUTAM, RAGU NATH SUPERVISOR for AA Medical Doctor 161971 12/01/2023
GROSSBLAT, DAVID ALI SUPERVISOR for AA Medical Doctor 162620 12/01/2023
KALRA, MINNEA B MD SUPERVISOR for AA Medical Doctor 56455 12/01/2023
KAPISODA, KATARINA SUPERVISOR for AA Medical Doctor 148345 12/01/2023
REED, HEATHER MARYANN SUPERVISOR for AA Medical Doctor 128681 12/01/2023
SO, CELAINE SUPERVISOR for AA Medical Doctor 154664 12/01/2023
THOENE, JAMES JOHN JR SUPERVISOR for AA Medical Doctor 104224 12/01/2023

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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 6/30/2024



* 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.