License Verification

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WILLIAM MASON BONNER

License Number: PA9107302

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9107302
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/01/2013
Address of Record
4500 San Pablo Road
Mayo Clinic
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4500 San Pablo Rd S
JACKSONVILLE, FL 32218
Name Relationship Profession License Effective Date
BESTE, RACHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 122722 05/01/2024
BRAGG, BRADLEY NORMAN Supervising Prescribing Practitioner Medical Doctor 89850 09/11/2018
DRAGON, MARC BERNHARD Supervising Prescribing Practitioner Medical Doctor 99475 09/11/2018
GRAHAM, CHARLES GREGORY Supervising Prescribing Practitioner Medical Doctor 97744 09/11/2018
GRINNEY, MICHAEL ALAN Supervising Prescribing Practitioner Medical Doctor 101581 09/11/2018
JAMES, COURTNEY LYN Supervising Prescribing Practitioner Medical Doctor 154037 05/01/2024
KAMINSKI, ANN MD Supervising Prescribing Practitioner Medical Doctor 113696 05/01/2024
KELLY, NICHOLAS JOSEPH Supervising Prescribing Practitioner Medical Doctor 167209 05/01/2024
KRUSE, BRIAN THOMAS Supervising Prescribing Practitioner Medical Doctor 80078 09/11/2018
MCKENNA, RYAN TIMOTHY Supervising Prescribing Practitioner Osteopathic Physician 13229 05/01/2024
PRUDEN, KATHRYN VIETA Supervising Prescribing Practitioner Medical Doctor 81331 09/11/2018
SHIRAZI, EHSAN Supervising Prescribing Practitioner Medical Doctor 97806 09/11/2018
SILVERS, SCOTT MICHAEL Supervising Prescribing Practitioner Medical Doctor 83283 09/11/2018
SIMON, LESLIE VANHORN Supervising Prescribing Practitioner Osteopathic Physician 10313 09/11/2018
ST CLAIR IV, JESSE WALTON Supervising Prescribing Practitioner Medical Doctor 142610 05/01/2024
SZYMANSKI, THEODORE JOHN JR Supervising Prescribing Practitioner Osteopathic Physician 4432 09/11/2018
THUGE, BETH GRIENINGER Supervising Prescribing Practitioner Medical Doctor 99499 09/11/2018
VADEBONCOEUR, TYLER FRANK Supervising Prescribing Practitioner Medical Doctor 90209 09/11/2018

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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 12/23/2024



* 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.