License Verification

Printer Friendly Version

JAINAM SHAH

License Number: AA1003

Data As Of 12/24/2024

Profession
Anesthesiologist Assistant
License
AA1003
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
10/14/2024
Address of Record
8780 Chambore Drive
JACKSONVILLE, FL 32256
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
CABRERA, JOSE GABRIEL Supervising ME Medical Doctor 148021 11/20/2024
MALLU, SRILATHA MD Supervising ME Medical Doctor 133784 11/20/2024
MILLER, DALE E MD Supervising ME Medical Doctor 56776 11/20/2024
PENUGONDA, BAPANAIAH Supervising ME Medical Doctor 60919 11/20/2024
PIERRE, STEVE Supervising ME Medical Doctor 122044 11/20/2024
SHAIK, SADIQ S Supervising ME Medical Doctor 131022 11/20/2024
WILLIAMS, VANESSA CAMILLE Supervising ME Medical Doctor 106586 11/20/2024

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 12/24/2024



* 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.