License Verification

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GUSTAV J LO

License Number: ME154123

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME154123
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/15/2021
Address of Record
964 International parkway
suite 1620
LAKE MARY, FL 32746
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2105 N. Park Ave
WINTER PARK, FL 32789
Address
700 2nd Avenue North #205
NAPLES, FL 34102
Address
815 Bald Eagle Unit 103
MARCO ISLAND, FL 34145
Address
3847 South School Avenue
SARASOTA, FL 34239
Address
363 Altantic Blv suite 10
ATLANTIC BCH, FL 32233
Address
340 Royal Palm Way Suite 101
PALM BEACH, FL 33480
Address
12300 South Shore Blv Unit 101
WELLINGTON, FL 33414
Address
11910 SE Dixie Hwy
HOBE SOUND, FL 33455
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ENOS, KATHERINE Prescribing Physician Assistant Physician Assistant 9118290 2/5/2024
LIPSCH, HANNAH CLAIR Prescribing Physician Assistant Physician Assistant 9118269 4/5/2024
RAHMAN, SAMIHA Prescribing Physician Assistant Physician Assistant 9118050 10/9/2023
STEVENSON, DANIELLE MARIE Prescribing Physician Assistant Physician Assistant 9116676 7/17/2023

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.