License Verification

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LAUREN WARD COUTURE

License Number: PA9112670

Data As Of 12/15/2025

Profession
Physician Assistant
License
PA9112670
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/02/2019
Address of Record
550 W Redstone Avenue
Suite 490
North Okaloosa Physician Gr.-Phy.Med. Pl
CRESTVIEW, FL 32536
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
550 W Redstone Avenue Suite 490 North Okaloosa Physician Gr.-Phy.Med. Pl
CRESTVIEW, FL 32536
Address
151 E Redstone Avenue
CRESTVIEW, FL 32539
Name Relationship Profession License Effective Date
EL ATFY, ASSER AHMED AMIR Supervising Prescribing Practitioner Medical Doctor 110583 07/19/2021
KONIGSBERG, SHELDON Supervising Dispensing Practitioner Medical Doctor 29026 06/03/2022
MASON, DARAN JENNINGS Supervising Prescribing Practitioner Medical Doctor 135921 06/03/2022

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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 12/15/2025



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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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