License Verification

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PATRICK RAY KEETON

License Number: PA9107121

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9107121
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/26/2013
Address of Record
8383 N DAVIS HWY
1000 Henckley Ave
PENSACOLA, FL 32514
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
ALLISS, SAMIR JOSE Supervising Prescribing Practitioner Osteopathic Physician 7247 06/30/2016
ALSHAZLEY, MOUDAR Supervising Prescribing Practitioner Medical Doctor 78728 02/07/2019
ARBUCKLE, SEAN SR Supervising Prescribing Practitioner Osteopathic Physician 11132 07/17/2019
BARDINELLI, JOSEPH DO Supervising Prescribing Practitioner Osteopathic Physician 15844 04/17/2019
BERNARD, BRADLEY CHARLES MD Supervising Prescribing Practitioner Medical Doctor 103000 06/30/2016
BORUP, MIKEL ELIAS Supervising Prescribing Practitioner Osteopathic Physician 16398 03/05/2020
BRANTLEY, MITCHELL DAVID Supervising Prescribing Practitioner Medical Doctor 87928 06/30/2016
CARLSON, WILLIAM SHAW Supervising Prescribing Practitioner Medical Doctor 121446 02/07/2019
COOK, DARREN LEE Supervising Prescribing Practitioner Osteopathic Physician 5856 02/15/2019
DOLISTER, MICHAEL JAN Supervising Prescribing Practitioner Medical Doctor 66315 06/30/2016
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 04/17/2019
GAILMARD, WILLIAM ROBERT Supervising Prescribing Practitioner Medical Doctor 138184 07/17/2019
KALAJI, ZAHER Supervising Prescribing Practitioner Medical Doctor 73792 02/07/2019
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 02/07/2019
NODINE, STEVEN LEE Supervising Prescribing Practitioner Osteopathic Physician 11996 03/29/2019
NOGGLE, TOMMY STEVEN MD Supervising Prescribing Practitioner Medical Doctor 93880 02/07/2019
ORBEZO, ANED M Supervising Prescribing Practitioner Medical Doctor 95479 02/07/2019
PATEL, JAIMIN BALWANT M D Supervising Prescribing Practitioner Medical Doctor 104797 02/07/2019
PATRONI, CLYDE JOSEPH JR Supervising Prescribing Practitioner Medical Doctor 100780 06/30/2016
PHELPS, ANID ORBEZO Supervising Prescribing Practitioner Medical Doctor 94653 02/07/2019
PORTER, JAYCE Supervising Prescribing Practitioner Osteopathic Physician 16341 01/08/2020
RAK, TIMOTHY AARON Supervising Prescribing Practitioner Medical Doctor 83486 03/05/2020
REVILLA, RICARDO ARSENIO Supervising Prescribing Practitioner Medical Doctor 106166 03/05/2020
RILEY, SCOTT IVAN Supervising Prescribing Practitioner Medical Doctor 101153 06/30/2016
SINGLEY, CHRISTOPHER LEE Supervising Prescribing Practitioner Medical Doctor 101636 02/07/2019
THOMPSON, TOMMY GLEN II Supervising Prescribing Practitioner Medical Doctor 128635 02/07/2019
WEHRY, LAURA MCCAULEY Supervising Prescribing Practitioner Medical Doctor 73145 06/30/2016
WELLS, BRANDEN LAMAUND Supervising Prescribing Practitioner Medical Doctor 82540 06/30/2016
ZAHERI, KAMRAN Supervising Prescribing Practitioner Medical Doctor 136667 10/01/2018

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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 12/22/2024



* 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.