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DUSTY ALLEN MOSES DR

License Number: ME115932

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME115932
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
05/01/2013
Address of Record
1530 Cornerstone Blvd
DAYTONA BEACH, FL 32117
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

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Name Relationship Profession License Effective Date
CHEVALIER, ELIZA JANE Prescribing Physician Assistant Physician Assistant 9112106 4/8/2019
DAUGHERTY, LYNDSAY Prescribing Physician Assistant Physician Assistant 9112123 6/10/2019
EPPINGER, STEPHEN Prescribing Physician Assistant Physician Assistant 9110497 8/24/2017
FOFANA, KERFALA Prescribing Physician Assistant Physician Assistant 9105531 5/9/2018
GAMBONE, JUSTIN Prescribing Physician Assistant Physician Assistant 9110474 8/8/2017
GENTRY, RACHAEL LEIGH Prescribing Physician Assistant Physician Assistant 9108099 12/1/2015
GRENELLE, PAUL MICHAEL LEE Prescribing Physician Assistant Physician Assistant 9105871 12/6/2016
LAI, ANGEL MUN CHIH Prescribing Physician Assistant Physician Assistant 9103400 9/21/2016
LEE, KENNETH BRIAN Prescribing Physician Assistant Physician Assistant 9112062 5/1/2019
MATEY, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9108982 6/1/2021
MCCABE KLINE, KRISTIN BOND Subordinate Medical Doctor 98422 6/14/2021
MCCOLE-PONS, SHARON AURORA Prescribing Physician Assistant Physician Assistant 9108757 12/11/2015
NACKE, BEAU BRIAN Prescribing Physician Assistant Physician Assistant 9110469 8/8/2017
NONG, RINDY Prescribing Physician Assistant Physician Assistant 9102888 9/28/2016
PERKINS, SUZANNA LEIGH Prescribing Physician Assistant Physician Assistant 9109720 10/18/2016
PETROZZINO, VITO A Prescribing Physician Assistant Medical Doctor 123472 6/6/2021
PETROZZINO, VITO A Subordinate Medical Doctor 123472 6/6/2021
RICCI, ANGELA LYNN Prescribing Physician Assistant Physician Assistant 9105845 10/4/2016
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 5/13/2016
SCHNEIDER, LINDSAY MARIE Prescribing Physician Assistant Physician Assistant 9111956 5/22/2019
SISKO, MATTHEW DAVID Prescribing Physician Assistant Medical Doctor 111919 6/6/2021
VAGOVIC, KANDACE F Prescribing Physician Assistant Physician Assistant 2619 9/28/2016
WELCH, CELESTE NADINE Prescribing Physician Assistant Physician Assistant 9104887 9/21/2016
WELLS, ELIJAH GORDON Prescribing Physician Assistant Physician Assistant 9113266 6/14/2021

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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.