License Verification

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ELISABETH REBECCA HENRY

License Number: PA9108904

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9108904
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/26/2015
Address of Record
2100 Centerville Road
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1300 MICCOSUKEE ROAD TALLAHASSEE MEMORIAL HEALTHCARE
TALLAHASSEE, FL 32308
Address
1300 Miccosukee Rd
TALLAHASSEE, FL 32308
Name Relationship Profession License Effective Date
BAVIKATI, VENKATA Supervising Prescribing Practitioner Medical Doctor 121439 11/23/2015
COX, MARILYN MARGARET Supervising Prescribing Practitioner Medical Doctor 47541 11/23/2015
KHAIRALLAH, FARHAT SELIM Supervising Prescribing Practitioner Medical Doctor 90702 11/23/2015
SILBERMAN, GAD ABRAHAM Supervising Prescribing Practitioner Medical Doctor 113556 11/23/2015

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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 4/25/2025



* 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.