License Verification

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ISRAEL GUERRERO MANTILLA

License Number: ME121406

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME121406
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
08/26/2014
Address of Record
1550 BARKLEY CIRCLE
FORT MYERS, FL 33907
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

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Name Relationship Profession License Effective Date
DENISON, MEGAN RAMBO Prescribing Physician Assistant Physician Assistant 9110626 12/8/2017
FINCHER, LAURA Prescribing Physician Assistant Physician Assistant 9118094 10/30/2023
MONTGOMERY, KATHERINE LEIGH PA-C Prescribing Physician Assistant Physician Assistant 9112508 12/30/2019
WALLS, LINDA A Prescribing Physician Assistant Physician Assistant 9113175 1/9/2023

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.