License Verification
IAN JAMES JOHNSON
License Number: PA9110730
Data As Of 12/22/2024
- Address
- 250 N Wickham Rd
- MELBOURNE, FL 32935
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ABD EL AZIZ, AHMED ESSAM | Supervising Prescribing Practitioner | Medical Doctor | 168022 | 06/30/2024 |
ALAKIJA, CHARLES OBAFEMI | Supervising Prescribing Practitioner | Medical Doctor | 80775 | 08/10/2022 |
ARIAS, ERICH ALBERTO | Supervising Prescribing Practitioner | Medical Doctor | 101986 | 12/26/2023 |
ARMISTEAD, SHANNON ASHLEY | Supervising Prescribing Practitioner | Osteopathic Physician | 17110 | 02/02/2023 |
ARNOLD, JOHN L JR | Supervising Prescribing Practitioner | Medical Doctor | 90636 | 08/02/2021 |
BALLARD, PATRICK | Supervising Prescribing Practitioner | Osteopathic Physician | 20852 | 06/12/2024 |
BANERJEE, PUSHPAL R | Supervising Prescribing Practitioner | Osteopathic Physician | 8141 | 02/02/2023 |
BARABAS, ALEXANDRU | Supervising Prescribing Practitioner | Medical Doctor | 133657 | 08/01/2021 |
BEATTY, ROBERT PATRICK | Supervising Prescribing Practitioner | Medical Doctor | 97579 | 08/13/2021 |
BENSON, RACHEL | Supervising Prescribing Practitioner | Medical Doctor | 169504 | 07/31/2024 |
BOYER, MICHAEL ANTHONY | Supervising Prescribing Practitioner | Osteopathic Physician | 7483 | 10/12/2023 |
BRADEN, JOHN EMORY MD | Supervising Prescribing Practitioner | Medical Doctor | 67031 | 08/01/2024 |
BRYAN, JENNIFER ANN ADAMS M D | Supervising Prescribing Practitioner | Medical Doctor | 94013 | 07/01/2021 |
BUSTAMANTE, CHRISTIAN EDGAR M D | Supervising Prescribing Practitioner | Medical Doctor | 145628 | 12/15/2023 |
CONNOLLY, PATRICK J | Supervising Prescribing Practitioner | Osteopathic Physician | 19382 | 03/29/2023 |
DAVIDSON-JOCKOVICH, DAWN MARIE MD | Supervising Prescribing Practitioner | Medical Doctor | 66378 | 08/02/2021 |
FERNANDEZ, JOHN RUSSELL | Supervising Prescribing Practitioner | Medical Doctor | 65400 | 08/02/2021 |
FORD, ROBERT CHARLES III | Supervising Prescribing Practitioner | Osteopathic Physician | 12456 | 07/02/2023 |
FREELS, KEVIN | Supervising Prescribing Practitioner | Medical Doctor | 131199 | 07/01/2021 |
GLAZER, KELLY SYLVIA | Supervising Prescribing Practitioner | Medical Doctor | 149363 | 08/13/2021 |
GRAHAM, KELLY ANN | Supervising Prescribing Practitioner | Physician Assistant | 9112573 | 07/24/2021 |
HARBOUR, DAVID MARK | Supervising Prescribing Practitioner | Osteopathic Physician | 8124 | 07/01/2021 |
HARRIS, PATRICK JENNINGS DO | Supervising Prescribing Practitioner | Osteopathic Physician | 8101 | 07/15/2021 |
HEMINGWAY, THOMAS JARED | Supervising Prescribing Practitioner | Medical Doctor | 153423 | 03/01/2023 |
HESSION, RORY ORLANT | Supervising Prescribing Practitioner | Medical Doctor | 87577 | 08/01/2021 |
HILL, DUSTIN NICOLAS | Supervising Prescribing Practitioner | Medical Doctor | 137031 | 07/24/2021 |
HOLCOMBE, KEVIN WESTRAY | Supervising Prescribing Practitioner | Medical Doctor | 112246 | 08/15/2023 |
KAPPER, JORDAN | Supervising Prescribing Practitioner | Medical Doctor | 159916 | 02/17/2023 |
LARICE, WALESKA | Supervising Prescribing Practitioner | Medical Doctor | 117446 | 08/02/2024 |
LIN, EDWARD C | Supervising Prescribing Practitioner | Osteopathic Physician | 11547 | 07/01/2021 |
MADSEN, ERIK ARTHUR | Supervising Prescribing Practitioner | Medical Doctor | 163200 | 12/01/2023 |
MALLORY, GEORGE EDWARD D O | Supervising Prescribing Practitioner | Osteopathic Physician | 5771 | 02/02/2023 |
MASIH, RAVI BAKHSHISH | Supervising Prescribing Practitioner | Medical Doctor | 75539 | 08/03/2021 |
MAYOR-DAVIES, JUDY ANN | Supervising Prescribing Practitioner | Medical Doctor | 73801 | 08/03/2021 |
MCINTYRE, MOLLY LAUREN | Supervising Prescribing Practitioner | Medical Doctor | 116923 | 11/08/2023 |
MELLO, PAUL M | Supervising Prescribing Practitioner | Medical Doctor | 142742 | 11/23/2022 |
MELONI, MICHAEL ANTHONY JR | Supervising Prescribing Practitioner | Medical Doctor | 30755 | 08/01/2021 |
MITCHELL, CRAIG ROBERT MD | Supervising Prescribing Practitioner | Medical Doctor | 102920 | 08/03/2021 |
MITCHELL, WILLIAM CLAY III | Supervising Prescribing Practitioner | Medical Doctor | 129135 | 07/01/2021 |
NUNEZ-CUBILLAS, ALBERTO | Supervising Prescribing Practitioner | Physician Assistant | 9101680 | 08/01/2021 |
PATEL, CHETAN R | Supervising Prescribing Practitioner | Medical Doctor | 143328 | 07/01/2021 |
PATEL, SUMIT SUNIL | Supervising Prescribing Practitioner | Medical Doctor | 135844 | 07/01/2021 |
PIRVAN, DANIEL FLAVIUS | Supervising Prescribing Practitioner | Medical Doctor | 137055 | 07/01/2021 |
PITTS, DAPHNE MARIAN MD | Supervising Prescribing Practitioner | Medical Doctor | 90371 | 10/09/2024 |
ROTONDO, JOHN ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 149211 | 02/02/2023 |
SAVANI, PARESH D MD | Supervising Prescribing Practitioner | Medical Doctor | 95295 | 07/01/2021 |
SHORAKA, CAMERON | Supervising Prescribing Practitioner | Medical Doctor | 147021 | 08/03/2022 |
SZETO, LIAN | Supervising Prescribing Practitioner | Physician Assistant | 9108169 | 08/03/2021 |
TANA, CHRISTOPHER FRANK | Supervising Prescribing Practitioner | Osteopathic Physician | 10435 | 06/13/2023 |
TERWILLIGER, ZACHARY | Supervising Prescribing Practitioner | Medical Doctor | 138339 | 03/14/2024 |
THOMAS, SANDI LYNN | Supervising Prescribing Practitioner | Osteopathic Physician | 9258 | 02/02/2023 |
VELASCO, RODRIGO ERNESTO | Supervising Prescribing Practitioner | Medical Doctor | 136030 | 08/03/2021 |
WARD, FREDERICK CHRISTOPHER M D | Supervising Prescribing Practitioner | Medical Doctor | 85924 | 08/01/2021 |
WEAVER, LEAH DARE | Supervising Prescribing Practitioner | Physician Assistant | 9103804 | 08/01/2021 |
WILKINSON, JOHN J | Supervising Prescribing Practitioner | Medical Doctor | 131732 | 10/02/2024 |
WILSON, HOLLY JO | Supervising Prescribing Practitioner | Medical Doctor | 98782 | 10/02/2024 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ABRAHAM, VARKEY | Prescribing Physician Assistant | Physician Assistant | 3670 | 10/11/2021 |
APPEL, RACHEL | Prescribing Physician Assistant | Physician Assistant | 9102351 | 10/11/2021 |
DENIZARD, REGINALD | Prescribing Physician Assistant | Physician Assistant | 3579 | 10/11/2021 |
RUOCCO, DEBRALEE ANNE | Prescribing Physician Assistant | Physician Assistant | 9102726 | 10/11/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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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.