License Verification

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ELIZABETH ANN DUNHAM

License Number: PA9112600

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9112600
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/25/2019
Address of Record
4500 San Pablo Road South
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4500 San Pablo Road S
JACKSONVILLE, FL 32224
Name Relationship Profession License Effective Date
ABODE-IYAMAH, KINGSLEY OTSIOREN Supervising Prescribing Practitioner Medical Doctor 135498 02/19/2020
CHAICHANA, KAISORN Supervising Prescribing Practitioner Medical Doctor 133570 02/19/2020
CHEN, SELBY GUANGNAN Supervising Prescribing Practitioner Medical Doctor 124819 02/19/2020
DEEN, HUGH GORDON JR Supervising Prescribing Practitioner Medical Doctor 79912 02/19/2020
NOTTMEIER, ERIC WILLIAM MD Supervising Prescribing Practitioner Medical Doctor 85268 02/19/2020
QUINONES-HINOJOSA, ALFREDO Supervising Prescribing Practitioner Medical Doctor 128754 02/19/2020
REIMER, RONALD Supervising Prescribing Practitioner Medical Doctor 48889 02/19/2020
WHAREN, ROBERT E JR Supervising Prescribing Practitioner Medical Doctor 48693 02/19/2020

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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 12/23/2024



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** 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.


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