License Verification

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SANJAY J PATTANI

License Number: ME107131

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME107131
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
05/12/2010
Address of Record
Hospital Administration
AdventHealth Orlando
601 East Rollins Street
ORLANDO, FL 32803
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 06/21/2021
AUN, JESSICA FIDES Supervising Prescribing Practitioner Osteopathic Physician 13946 05/14/2022
BENNETT, MILES CLARK Supervising Prescribing Practitioner Osteopathic Physician 10955 06/10/2022
BRUN, TAYLOR KRISTINE Supervising Prescribing Practitioner Medical Doctor 139172 06/04/2022
CABATU, AMABEL-JOVAN CHUA MD Supervising Prescribing Practitioner Medical Doctor 96128 06/09/2022
HAWKS, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 104554 06/18/2021
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 03/06/2023
TANIS, JAMES FRANCIS JR Supervising Prescribing Practitioner Medical Doctor 137079 05/10/2022

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Name Relationship Profession License Effective Date
KELLOCK, HEIDI-MARIE ALEXANDRA M D Subordinate Medical Doctor 114140 9/1/2017

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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



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** 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.


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