License Verification

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JONATHAN ROSS DATTILO

License Number: ME144420

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME144420
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
03/02/2020
Address of Record
12416 66th St N
Suite A
Attn: Sherry LaBonte
LARGO, FL 33773
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1325 Belcher Rd Suite A Attn: Sherry LaBonte
PALM HARBOR, FL 34683
Address
2438 Dr M.L. King Jr St N Suite A Attn: Sherry LaBonte
SAINT PETERSBURG, FL 33704
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
DUPONT, CAMILLE AUBREY Prescribing Physician Assistant Physician Assistant 9109306 10/14/2020
FOWLER, ASHLEY R Prescribing Physician Assistant Physician Assistant 9106487 10/14/2020
JETER, MELINDA BIGHAM Prescribing Physician Assistant Physician Assistant 9103553 10/14/2020
JOHNSON, COURTNEY BALCOME Prescribing Physician Assistant Physician Assistant 9110696 10/14/2020
MONROE, LYNDSAY DANIELLE Prescribing Physician Assistant Physician Assistant 9105092 10/14/2020
NIXON, ROBERT DANIEL Prescribing Physician Assistant Physician Assistant 9101789 10/14/2020
NOTLEY, AMANDA LYNN Prescribing Physician Assistant Physician Assistant 9114182 3/17/2021
RILEY, KRISTEN FAYE Prescribing Physician Assistant Physician Assistant 9101640 10/14/2020
STUMP, HOLLY LYNNE Prescribing Physician Assistant Physician Assistant 9106982 10/14/2020
TAYLOR, CHELSEA ANNE Prescribing Physician Assistant Physician Assistant 9108557 10/14/2020
WHITE, RUSSELL W Prescribing Physician Assistant Physician Assistant 9111057 10/14/2020

Click on the License Number to view License Details for that Practitioner

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 12/23/2024



* 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.