License Verification

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GRAIG EDWARD BLEVINS

License Number: OS12408

Data As Of 8/17/2026

Profession
Osteopathic Physician
License
OS12408
License Status
Clear/Active
License Expiration Date
3/31/2028
License Original Issue Date
10/25/2013
Address of Record
13800 Veterans Way
ORLANDO, FL 32827
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
BHULA, JAY RAMESH Supervising Prescribing Practitioner Medical Doctor 177074 02/24/2026
LOPEZ, ROBERT JEFFREY Supervising Prescribing Practitioner Medical Doctor 102974 09/03/2020

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Name Relationship Profession License Effective Date
ACKERMAN, CORRIE ELISE Prescribing Physician Assistant Physician Assistant 9104453 11/17/2021
ALEXANDER, BRIAN Prescribing Physician Assistant Physician Assistant 9115238 10/18/2021
BURCHENSON, KRYSTA-GAYE LATOYA Prescribing Physician Assistant Physician Assistant 9108009 3/27/2018
HABIB, LAILA NICOLE Prescribing Physician Assistant Physician Assistant 9111509 12/17/2018
HETZEL, BERNADETTE Prescribing Physician Assistant Physician Assistant 9101821 4/22/2026
KERZHNER, EDUARD Prescribing Physician Assistant Physician Assistant 9111996 4/22/2026
KINSEY, DANIELLE MARIA Prescribing Physician Assistant Physician Assistant 9103937 4/22/2026
KOLANKO, KAYLA MARIE Prescribing Physician Assistant Physician Assistant 9113956 4/22/2026
LUKASIK, MICHELLE NICOLE Prescribing Physician Assistant Physician Assistant 9111603 12/17/2018
MAKAROV, LARISA Prescribing Physician Assistant Physician Assistant 9109999 4/22/2026
MARSH, CASEY ALEXANDER Prescribing Physician Assistant Physician Assistant 9120560 4/22/2026
QAYYUM, MOHAMMAD SOHAIB Prescribing Physician Assistant Physician Assistant 9109803 4/22/2026
SCOTT, JERRY WAYNE III Prescribing Physician Assistant Physician Assistant 9119169 4/22/2026
SEREDA, ROMAN YURYEVICH Prescribing Physician Assistant Physician Assistant 9108442 4/22/2026
SHAW, LAUREN ALYSSE Prescribing Physician Assistant Physician Assistant 9110682 4/22/2026
SKINNER, KEIANA LATREECE Prescribing Physician Assistant Physician Assistant 9113823 4/22/2026
SOSA, DEVIN WILLIS Prescribing Physician Assistant Physician Assistant 9116078 4/22/2026
STAPLETON, SANDRA KAY Prescribing Physician Assistant Physician Assistant 9101188 4/22/2026

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 8/17/2026



* 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.