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BRADLEY ALLEN BIEBERBERG

License Number: AA153

Data As Of 12/24/2024

Profession
Anesthesiologist Assistant
License
AA153
License Status
DELINQUENT/
License Expiration Date
1/31/2023
License Original Issue Date
10/29/2012
Address of Record
2618 W BIJOU ST
COLORADO SPRINGS, CO 80904
Discipline on File
No
Public Complaint
No
Address
4000 BURNS RD. NORTH COUNTY SURGICENTER
PALM BEACH GARDENS, FL 33410
Name Relationship Profession License Effective Date
AHMED-ELAMIN, ALI M Supervising ME Medical Doctor 90350 04/01/2016
AMADO, JEFFREY ALAN M D Supervising ME Medical Doctor 50612 04/01/2016
BAKALOVA-HRISTOV, TZONKA TZVETKOVA Supervising ME Medical Doctor 81363 04/01/2016
DUCLAS, REYNOLD JR Supervising ME Medical Doctor 106988 04/01/2016
ELENGICAL, MARY THERESA SUPERVISOR for AA Osteopathic Physician 11134 04/01/2016
GHIGNONE, MARCO Supervising ME Medical Doctor 49902 07/06/2015
GRAHAM, JOY SUSAN Supervising ME Medical Doctor 68573 07/06/2015
HOSAM, CECILIA Supervising ME Medical Doctor 109834 04/01/2016
JACQUES, JANICE ARLYN DAWN Supervising ME Medical Doctor 55941 06/15/2015
KNURR, ALEXANDER JOSEPH Supervising ME Medical Doctor 63141 04/01/2016
MEZENTSEV, DMITRY Supervising ME Medical Doctor 118112 07/06/2015
ORTEGA, JOSE LUIS Supervising ME Medical Doctor 90830 04/01/2016
UNTRACHT, MITCHEL SCOTT Supervising ME Medical Doctor 54051 04/01/2016
WAYNE, RICHARD LEE Supervising ME Medical Doctor 67406 06/15/2015

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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 12/24/2024



* 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.