License Verification

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IRENE GREIVELL

License Number: PA9110604

Data As Of 9/3/2026

Profession
Physician Assistant
License
PA9110604
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
08/31/2017
Address of Record
14131 Metropolis Ave
#101
FORT MYERS, FL 33912
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
BARTRUFF, CHRISTOPHER RYAN Supervising Prescribing Practitioner Medical Doctor 74301 07/10/2026
CONKLU, EMRE MEHMET Supervising Prescribing Practitioner Osteopathic Physician 10121 04/22/2026
DENK, PETER MICHAEL Supervising Prescribing Practitioner Medical Doctor 94691 10/06/2017
DOMINGUEZ, MARIA HOELLER Supervising Prescribing Practitioner Medical Doctor 165405 05/19/2026
ESPOSITO, TRAVIS Supervising Prescribing Practitioner Osteopathic Physician 19784 07/10/2026
GALEY, TIMOTHY Supervising Prescribing Practitioner Medical Doctor 165925 04/27/2026
GECHLIK, ALEX Supervising Prescribing Practitioner Osteopathic Physician 20938 06/18/2026
HUMPHRIES, ASHLEY ROSE Supervising Prescribing Practitioner Medical Doctor 160796 07/10/2026
JEN, PETRIJA Supervising Prescribing Practitioner Osteopathic Physician 7864 04/24/2026
KRABACHER, KENNETH DANIEL MD Supervising Prescribing Practitioner Medical Doctor 129897 04/24/2026
LEE, JULIA SUN MD Supervising Prescribing Practitioner Medical Doctor 111060 07/10/2026
LYNCH, TAYLOR Supervising Prescribing Practitioner Medical Doctor 160593 07/10/2026
MCDONALD, DIANE LYNN Supervising Prescribing Practitioner Medical Doctor 114640 04/24/2026
MIAN, USMAN TARIQ Supervising Prescribing Practitioner Medical Doctor 128350 06/03/2026
MONTALVO, ARA JAMASBI Supervising Prescribing Practitioner Medical Doctor 140960 07/10/2026
PATTERSON, SHAWN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 116648 07/10/2026
RAD, JAHAN JONATHAN Supervising Prescribing Practitioner Medical Doctor 149795 04/22/2026
SHARP, DEBORAH TALLEY COOK Supervising Prescribing Practitioner Medical Doctor 177832 04/24/2026
STEPHENSON, SAMUEL AARON Supervising Prescribing Practitioner Medical Doctor 113422 05/12/2026
WALTERS, CAROLYN MARIE Supervising Prescribing Practitioner Medical Doctor 63593 07/10/2026
WIETECHA, KATHERINE MARGARET Supervising Prescribing Practitioner Medical Doctor 158560 04/22/2026

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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 9/3/2026



* 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.