License Verification
TRAVIS DAVID LONG
License Number: PA9107114
Data As Of 12/23/2024
- Address
- 1630 Mason Ave JESUS CLINIC
- DAYTONA BEACH, FL 32117
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ESTRELLA, THENDREX HERNANDEZ | Supervising Prescribing Practitioner | Medical Doctor | 113005 | 06/14/2017 |
MINOR, STEPHEN ERIC | Supervising Prescribing Practitioner | Medical Doctor | 103969 | 01/09/2018 |
SMITH, RYAN ALAN | Supervising Prescribing Practitioner | Osteopathic Physician | 15035 | 03/15/2018 |
WILSON, NILOUFAR | Supervising Prescribing Practitioner | Medical Doctor | 143954 | 08/04/2020 |
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
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 12/23/2024
* 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.