License Verification

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HEATHER LYNN WARNER

License Number: PA9112860

Data As Of 11/16/2024

Profession
Physician Assistant
License
PA9112860
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/20/2019
Address of Record
12902 Magnolia Drive
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ABDALLAH, ENAS Supervising Prescribing Practitioner Medical Doctor 150742 05/11/2022
BAZ, RACHID C Supervising Prescribing Practitioner Medical Doctor 101500 05/11/2022
BELLO, CELESTE MARIE Supervising Prescribing Practitioner Medical Doctor 93405 05/11/2022
BLUE, BRANDON JAMAAL Supervising Prescribing Practitioner Medical Doctor 141604 05/11/2022
CHAN, ONYEE Supervising Prescribing Practitioner Medical Doctor 132176 05/11/2022
CHAVEZ, JULIO CESAR Supervising Prescribing Practitioner Medical Doctor 117310 05/11/2022
GABALLA, SAMEH M Supervising Prescribing Practitioner Medical Doctor 142520 05/11/2022
GRAJALES-CRUZ, ARIEL FELIPE Supervising Prescribing Practitioner Medical Doctor 131875 05/11/2022
ISENALUMHE, LEIDY LISMERI Supervising Prescribing Practitioner Medical Doctor 123373 05/11/2022
KOMROKJI, RAMI SALAH-EDDIN Supervising Prescribing Practitioner Medical Doctor 102704 05/11/2022
KUBAL, TIMOTHY EDWARD Supervising Prescribing Practitioner Medical Doctor 106683 05/11/2022
KUYKENDALL, ANDREW TUCKER Supervising Prescribing Practitioner Medical Doctor 120230 05/11/2022
LANCET, JEFFREY EDWARD Supervising Prescribing Practitioner Medical Doctor 91554 05/11/2022
PADRON, ERIC Supervising Prescribing Practitioner Medical Doctor 104802 05/11/2022
PINILLA-IBARZ, JAVIER ALEJANDRO Supervising Prescribing Practitioner Medical Doctor 97234 05/11/2022
SAEED, HAYDER Supervising Prescribing Practitioner Medical Doctor 140004 05/11/2022
SALLMAN, DAVID ANDREW Supervising Prescribing Practitioner Medical Doctor 115432 05/11/2022
SHAH, BIJAL DINESH Supervising Prescribing Practitioner Medical Doctor 102874 05/11/2022
SHAIN, KENNETH H Supervising Prescribing Practitioner Medical Doctor 107261 05/11/2022
SOKOL, LUBOMIR Supervising Prescribing Practitioner Medical Doctor 80388 05/11/2022
SWEET, KENDRA LYNN Supervising Prescribing Practitioner Medical Doctor 106128 05/11/2022
YUN, SEONGSEOK Supervising Prescribing Practitioner Medical Doctor 140562 05/11/2022

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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 11/16/2024



* 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.