License Verification

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CONNOR IAN MILLER

License Number: PA9116300

Data As Of 9/3/2026

Profession
Physician Assistant
License
PA9116300
License Status
Clear/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
08/18/2022
Address of Record
120 NE 58th Street
OAKLAND PARK, FL 33334
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
AYLYAROV, ILYA Supervising Dispensing Practitioner Medical Doctor 146087 03/26/2026
CANNON, CHRISTINA MARIA Supervising Dispensing Practitioner Medical Doctor 132084 03/26/2026
FLETCHER, STEFFEN HASBROUCK Supervising Dispensing Practitioner Medical Doctor 100208 03/26/2026
GERAKOPOULOS, KYLE ALEXANDRA Supervising Dispensing Practitioner Medical Doctor 130785 03/26/2026
GONZALEZ, JOSE M MD Supervising Dispensing Practitioner Medical Doctor 70122 03/26/2026
GREENE, JOSEPH PAUL Supervising Dispensing Practitioner Medical Doctor 145718 03/30/2026
HERNANDEZ, NICOLAY F Supervising Dispensing Practitioner Osteopathic Physician 14647 03/26/2026
INGRAM, CHARLES JOHN Supervising Dispensing Practitioner Medical Doctor 169749 03/26/2026
KOTENKO, MARIE Supervising Dispensing Practitioner Medical Doctor 146375 03/26/2026
MELLO, PAUL M Supervising Dispensing Practitioner Medical Doctor 142742 03/26/2026
MOSTEL, ELIZABETH Supervising Dispensing Practitioner Medical Doctor 176091 03/26/2026
PARMAR, JENIEL Supervising Dispensing Practitioner Medical Doctor 130878 03/26/2026
PAWAR, KIMMERLE ANNE Supervising Dispensing Practitioner Medical Doctor 172268 03/26/2026
ULRICH, THOMAS WILLIAM Supervising Dispensing Practitioner Physician Assistant 9101550 03/26/2026
WINOGRAD, JONATHAN ISAAC Supervising Dispensing Practitioner Osteopathic Physician 12008 03/26/2026
ZACHARY, CORINNE M D Supervising Dispensing Practitioner Medical Doctor 77674 03/26/2026

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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 9/3/2026



* 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.