License Verification

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KERRIE ANN FALLON

License Number: PA9109073

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9109073
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/23/2015
Address of Record
85 Crystal Palm BLVD Apt402
SAINT JOHNS, FL 32259
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
ALDERMAN, MARY GODWIN Supervising Prescribing Practitioner Medical Doctor 72835 12/02/2015
ALSAHLI, HAITHAM Supervising Prescribing Practitioner Medical Doctor 140232 08/28/2019
BEARDSLEY, SHANNON LEE Supervising Prescribing Practitioner Medical Doctor 70257 12/02/2015
BORBELY, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 76108 12/02/2015
CUNNINGHAM, JAMES CHRISTOPHER Supervising Prescribing Practitioner Osteopathic Physician 10705 08/28/2019
DAVILA, JESSE ANDREW Supervising Prescribing Practitioner Medical Doctor 90427 12/02/2015
FIELDS, MARCUS STEPHENS Supervising Prescribing Practitioner Medical Doctor 78457 12/02/2015
GAMBA, JORGE LUIS Supervising Prescribing Practitioner Medical Doctor 47983 12/02/2015
GORDON, PATRICK OWEN Supervising Prescribing Practitioner Medical Doctor 63840 12/02/2015
GRATZ, BRETT IAN Supervising Prescribing Practitioner Medical Doctor 95177 12/02/2015
HOWZE, BRYAN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 81514 12/02/2015
IRIZARRY, RAFAEL LUIS Supervising Prescribing Practitioner Medical Doctor 85345 12/02/2015
JOHN, CHRISTOPHER M Supervising Prescribing Practitioner Osteopathic Physician 15940 08/28/2019
JOHNSON, DIANNE LAROCHE Supervising Prescribing Practitioner Medical Doctor 93196 12/02/2015
JONES, JAY EMERSON Supervising Prescribing Practitioner Medical Doctor 93060 12/02/2015
KALTMAN, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 78064 12/02/2015
KOBRIN, CRAIG ALLEN Supervising Prescribing Practitioner Medical Doctor 86305 12/07/2015
LAHIJI, KIAN Supervising Prescribing Practitioner Medical Doctor 136700 11/09/2018
LUDWIG, BENJAMIN JOHN Supervising Prescribing Practitioner Medical Doctor 112384 12/02/2015
MAKAR, RYAN AZIZ Supervising Prescribing Practitioner Medical Doctor 100244 09/07/2016
MORI, KURT WICK Supervising Prescribing Practitioner Medical Doctor 36779 12/02/2015
PARIKH, PANKIT TUSHAR Supervising Prescribing Practitioner Medical Doctor 128791 02/05/2019
PATEL, TRISHNA Y Supervising Prescribing Practitioner Medical Doctor 103207 12/02/2015
RATLIFF, DAVID CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 127285 05/12/2016
RODRIGUEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 74161 12/03/2015
SCHALLEN, ERIC HARTH Supervising Prescribing Practitioner Medical Doctor 87153 12/07/2015
SCHEMMEL, DEREK JOSEPH Supervising Prescribing Practitioner Medical Doctor 118671 12/03/2015
STRINGFELLOW, GREGORY BLAIR Supervising Prescribing Practitioner Medical Doctor 101511 12/02/2015
TALLEY, BRAD DOUGLAS Supervising Prescribing Practitioner Medical Doctor 103740 12/02/2015
TERHAAR, KENNETH Supervising Prescribing Practitioner Medical Doctor 134708 03/18/2019
THIRUMALA, KRISHNA DHARMAPURI Supervising Prescribing Practitioner Medical Doctor 97416 12/02/2015
TSAO, BENJAMIN ANDY Supervising Prescribing Practitioner Medical Doctor 119362 12/02/2015
WEST, JEFFREY HOWARD Supervising Prescribing Practitioner Medical Doctor 71981 12/03/2015

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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 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.