License Verification

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Okaloosa County Department of Public Safety

License Number: ALS4601

Data As Of 12/23/2024

Profession
EMS Service Provider (ALS)
License
ALS4601
License Status
CLEAR/
Qualifications
Transport
License Expiration Date
6/10/2026
License Original Issue Date
06/11/1992
Address of Record
90 College Boulevard East
NICEVILLE, FL 32578
Discipline on File
No
Address
104 Stahlman Avenue
DESTIN, FL 32541
Address
714 Essex Road
FORT WALTON BEACH, FL 32548
Address
94 Ready Avenue
FORT WALTON BEACH, FL 32548
Address
296 Brackin Avenue
CRESTVIEW, FL 32539
Address
2110 PJ Adams Parkway
CRESTVIEW, FL 32536
Address
107 Stahlman Ave
DESTIN, FL 32541
Address
5801 Monroe Street
BAKER, FL 32531
Address
106 Bullock Ave Medic 22
NICEVILLE, FL 32578
Name Relationship Profession License Effective Date
BELL, TODD DWAYNE Secondary Medical Director Medical Doctor 138278 04/08/2022
TANNER, CHRISTOPHER DAVID MD Primiary Medical Director Medical Doctor 65153 10/01/2008

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

Name Relationship Profession License Effective Date
1F95156285H140284 Permit Vehicle Permit (ALS) 23700 5/20/2021
1FD0W5HT7KEG10697 Permit Vehicle Permit (ALS) 23183 9/18/2020
1FD0W5HTXHEC33727 Permit Vehicle Permit (ALS) 20395 1/25/2017
1FDAW57P65EB02315 Permit Vehicle Permit (ALS) 13669 4/24/2006
1FDRF3HN5MED24184 Permit Vehicle Permit (ALS) 24004 10/7/2021
1FDRF3HN5MED24184 Permit Vehicle Permits (BLS) 6547 10/7/2021
1FDUF4GN3NDA00532 Permit Vehicle Permit (ALS) 24177 1/27/2022
1FDUF4GN3NDA00532 Permit Vehicle Permits (BLS) 6608 1/27/2022
1FDUF4GN5NDA00533 Permit Vehicle Permit (ALS) 24176 1/27/2022
1FDUF4GN5NDA00533 Permit Vehicle Permits (BLS) 6607 1/27/2022
1FDUF4GN6PDA16419 Permit Vehicle Permit (ALS) 26349 9/6/2024
1FDUF4GN6PDA16419 Permit Vehicle Permits (BLS) 7510 9/6/2024
1FDUF4GYXKDA20749 Permit Vehicle Permit (ALS) 23184 9/18/2020
1FDUF4GYXKDA20749 Permit Vehicle Permits (BLS) 6177 9/18/2020
1FDUF5HT6HDA08776 Permit Vehicle Permit (ALS) 22338 7/15/2019
1FDUF5HT6HDA08776 Permit Vehicle Permits (BLS) 5847 7/15/2019
1FDWE3FS3KDC08581 Permit Vehicle Permit (ALS) 22144 4/9/2019
1FDWE3FS3KDC08581 Permit Vehicle Permits (BLS) 5784 4/9/2019
1FDXE4FS0GDC31351 Permit Vehicle Permit (ALS) 19871 4/25/2016
1FDXE4FS0GDC31351 Permit Vehicle Permits (BLS) 5309 10/16/2017
1FDXE4FS2GDC36521 Permit Vehicle Permit (ALS) 19870 4/25/2016
1FDXE4FS2GDC36521 Permit Vehicle Permits (BLS) 5308 10/16/2017
1FDXE4FS4GDC24418 Permit Vehicle Permits (BLS) 5310 10/16/2017
1FDXE4FS4HDC34206 Permit Vehicle Permit (ALS) 20648 5/5/2017
1FDXE4FS4HDC34206 Permit Vehicle Permits (BLS) 5314 10/16/2017
1FDXE4FSCHDC28832 Permit Vehicle Permit (ALS) 20646 5/5/2017
1FDXE4FSCHDC28832 Permit Vehicle Permits (BLS) 5312 10/16/2017
1FDXE4FSHDC34207 Permit Vehicle Permits (BLS) 5315 10/16/2017
1FDXE4FSXHDC21234 Permit Vehicle Permit (ALS) 20647 5/5/2017
1FDXE4FSXHDC21234 Permit Vehicle Permits (BLS) 5313 10/16/2017
1FDYR2CM0HKB35686 Permit Vehicle Permit (ALS) 21532 7/2/2018
1FDYR2CM0HKB35686 Permit Vehicle Permits (BLS) 5549 7/2/2018
1FDYR2CM2HKB43269 Permit Vehicle Permit (ALS) 21533 7/2/2018
1FDYR2CM2HKB43269 Permit Vehicle Permits (BLS) 5550 7/2/2018
1FDYR2CM9GKB45387 Permit Vehicle Permit (ALS) 20342 12/16/2016
1FDYR2CM9GKB45387 Permit Vehicle Permits (BLS) 5311 10/16/2017
1FDYR2CM9HKB43267 Permit Vehicle Permits (BLS) 5551 7/2/2018
1FDYR2CM9HKB4367 Permit Vehicle Permit (ALS) 21534 7/2/2018
1FDYR2CMD0HKB35686 Permit Vehicle Permit (ALS) 25418 9/12/2023
1FDYR2CMD0HKB35686 Permit Vehicle Permits (BLS) 7127 9/12/2023
1GB3WSE75PF225040 Permit Vehicle Permit (ALS) 26052 5/24/2024
1GB3WSE75PF225040 Permit Vehicle Permits (BLS) 7415 5/24/2024
1GB3YTE71PF217243 Permit Vehicle Permit (ALS) 26051 5/24/2024
1GB3YTE71PF217243 Permit Vehicle Permits (BLS) 7414 5/24/2024
1GB3YTE78RF25879 Permit Vehicle Permit (ALS) 26350 9/6/2024
1GB3YTE78RF25879 Permit Vehicle Permits (BLS) 7511 9/6/2024
1GB3YTE79RF253359 Permit Vehicle Permit (ALS) 26352 9/6/2024
1GB3YTE79RF253359 Permit Vehicle Permits (BLS) 7513 9/6/2024
1GB3YTE7XRF252273 Permit Vehicle Permit (ALS) 26351 9/6/2024
1GB3YTE7XRF252273 Permit Vehicle Permits (BLS) 7512 9/6/2024
1GB3YTE7XRF252631 Permit Vehicle Permit (ALS) 26354 9/6/2024
1GB3YTE7XRF252631 Permit Vehicle Permits (BLS) 7515 9/6/2024
1GB3YTE7XRF253466 Permit Vehicle Permit (ALS) 26353 9/6/2024
1GB3YTE7XRF253466 Permit Vehicle Permits (BLS) 7514 9/6/2024
1GB6G5CL7E1106623 Permit Vehicle Permit (ALS) 18354 4/25/2014
1GB6G5CL7E1106623 Permit Vehicle Permits (BLS) 5304 10/16/2017
1GB6G5CL9E1109085 Permit Vehicle Permit (ALS) 18351 4/25/2014
1GB6G5CL9E1109085 Permit Vehicle Permits (BLS) 5301 10/16/2017
1GBZGUCL3F1269936 Permit Vehicle Permits (BLS) 4923 11/19/2015
1GBZGUCL3F1269939 Permit Vehicle Permit (ALS) 21535 7/2/2018
1GT4ULEY93F169133 Permit Vehicle Permit (ALS) 26494 11/5/2024
1HTKSSWK5NH675362 Permit Vehicle Permit (ALS) 24854 12/27/2022
1HTKSSWK5NH675362 Permit Vehicle Permits (BLS) 6894 12/27/2022
1HTKSSWK7NH675363 Permit Vehicle Permit (ALS) 24855 12/27/2022
1HTKSSWK7NH675363 Permit Vehicle Permits (BLS) 6895 12/27/2022
1HTMNAAM3CH114609 Permit Vehicle Permit (ALS) 17185 5/1/2012
1HTMNAAM3CH114609 Permit Vehicle Permits (BLS) 5297 10/16/2017
1HTMNAAM5DH359283 Permit Vehicle Permit (ALS) 17845 4/2/2013
1HTMNAAM5DH359283 Permit Vehicle Permits (BLS) 5298 10/16/2017
1HTMNAAM6BH391270 Permit Vehicle Permits (BLS) 5296 10/16/2017
1HTMNAAM7DH359284 Permit Vehicle Permit (ALS) 17846 4/2/2013
1HTMNAAM7DH359284 Permit Vehicle Permits (BLS) 5299 10/16/2017
1HTMNAAM9DH329585 Permit Vehicle Permits (BLS) 5300 10/16/2017
1S9A1BLD381003130 Permit Vehicle Permit (ALS) 18132 10/10/2013
1S9A1BND4D1003189 Permit Vehicle Permit (ALS) 18280 2/28/2014
1S9A1BND8N1003021 Permit Vehicle Permit (ALS) 24306 5/16/2022
1S9A1BNDX1003003 Permit Vehicle Permit (ALS) 22861 3/17/2020
1S9A1BNDXL1003003 Permit Vehicle Permit (ALS) 23082 7/13/2020
1S9A3LLE992003203 Permit Vehicle Permit (ALS) 15911 1/25/2010
1S9A3LNEXM2003135 Permit Vehicle Permit (ALS) 24362 6/6/2022
3C6LRVDG2PE558884 Permit Vehicle Permit (ALS) 25556 10/20/2023
3C6LRVDG2PE558884 Permit Vehicle Permits (BLS) 7187 10/20/2023
3C6LRVDG3PE558893 Permit Vehicle Permit (ALS) 25555 10/20/2023
3C6LRVDG3PE558893 Permit Vehicle Permits (BLS) 7185 10/20/2023
4EN6AAA86C1007101 Permit Vehicle Permit (ALS) 18230 1/24/2014
4ENGAAA8941009006 Permit Vehicle Permit (ALS) 13025 2/25/2006
4ENGAAAB521005794 Permit Vehicle Permit (ALS) 12824 10/7/2004
4P1BAAFF3FA015349 Permit Vehicle Permit (ALS) 19208 7/10/2015
4P1BAAFF3FA015349 Permit Vehicle Permit (ALS) 22825 2/28/2020
4P1BAAFF4KA020781 Permit Vehicle Permit (ALS) 22596 10/24/2019
4P1BAAFXGA016497 Permit Vehicle Permit (ALS) 20069 8/23/2016
4P1BCAGFLNA024851 Permit Vehicle Permit (ALS) 25417 9/12/2023
4P1CN01A6EA014337 Permit Vehicle Permit (ALS) 18307 3/28/2014
4P1CN01D7EA014454 Permit Vehicle Permit (ALS) 22432 8/26/2019
4P1CT02S3YA001000 Permit Vehicle Permit (ALS) 20645 5/5/2017
4P1CV01A49A010261 Permit Vehicle Permit (ALS) 15793 10/22/2009

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.