License Verification

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BROOKE DAVIS MYRBERG

License Number: PA9115611

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9115611
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/31/2022
Address of Record
2571 South University Dr
DAVIE, FL 33328
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
HENSLEY, LAUREN Supervising Dispensing Practitioner Osteopathic Physician 17522 05/03/2023
HENSLEY, LAUREN Supervising Prescribing Practitioner Osteopathic Physician 17522 05/03/2023
MAY, DUSTIN WEBSTER CAMPBELL Supervising Dispensing Practitioner Osteopathic Physician 13262 07/30/2022
MAY, DUSTIN WEBSTER CAMPBELL Supervising Prescribing Practitioner Osteopathic Physician 13262 07/30/2022
SINISTERRA, JUAN IGNACIO Supervising Prescribing Practitioner Osteopathic Physician 14180 01/09/2024

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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 12/22/2024



* 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.