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TOMMY GLEN THOMPSON II

License Number: ME128635

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME128635
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/06/2016
Address of Record
151 Redstone Ave SE
CRESTVIEW, FL 32539
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BERRY, SHANNON GAYLE Supervising Prescribing Practitioner Medical Doctor 152055 06/17/2021
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 09/09/2021
HAMPTON, ZACHARY EDWARD Supervising Prescribing Practitioner Osteopathic Physician 18067 08/22/2024
MATTEUZZI, KATIE LOU Supervising Prescribing Practitioner Osteopathic Physician 19359 02/13/2024
WEST, KERRI ELESE Supervising Prescribing Practitioner Osteopathic Physician 18404 10/20/2021

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Name Relationship Profession License Effective Date
AMBROSE, JESSICA Prescribing Physician Assistant Physician Assistant 9110160 7/25/2017
ATHEARN, CHERYL PARKER Prescribing Physician Assistant Physician Assistant 9107831 9/24/2018
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 11/14/2019
BUCK, JENNIFER FRANCES Prescribing Physician Assistant Physician Assistant 9106346 11/14/2019
BULLMAN, JONATHAN FAIN Prescribing Physician Assistant Physician Assistant 9107709 7/9/2021
DAIGLE, LAURIE LEBLANC Prescribing Physician Assistant Physician Assistant 9107203 7/25/2017
EVERETT, WARREN UMANDAP Prescribing Physician Assistant Physician Assistant 9105831 7/28/2021
FOWLER JR, TIMOTHY DALE Prescribing Physician Assistant Physician Assistant 9110560 11/15/2017
GANDHI, HARMISHA Prescribing Physician Assistant Physician Assistant 9118435 4/15/2024
GLEASON, RHONDA LEE Prescribing Physician Assistant Physician Assistant 9115553 2/2/2022
KEETON, PATRICK RAY Prescribing Physician Assistant Physician Assistant 9107121 2/7/2019
ROMAN, JULIE Prescribing Physician Assistant Physician Assistant 9111426 2/27/2023
SAMSON, JESSICA AURELIO Prescribing Physician Assistant Physician Assistant 9103076 8/1/2017
SIMMONS, LEONARD WILLIAM Prescribing Physician Assistant Physician Assistant 9103209 7/25/2017
TAYLOR, SHAWN DESHANNON Prescribing Physician Assistant Physician Assistant 9104301 7/29/2024
WASHINGTON, ERIC Prescribing Physician Assistant Physician Assistant 9118438 7/29/2024
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 7/9/2021
WILKERSON, BENNY RAY JR Prescribing Physician Assistant Physician Assistant 9102065 9/13/2017
WINDFELDER, CHARLES BERNARD Prescribing Physician Assistant Physician Assistant 9103273 7/25/2017

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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 12/22/2024



* 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.