License Verification

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GRACE HERZOG BRYAN

License Number: PA3590

Data As Of 10/21/2026

Profession
Physician Assistant
License
PA3590
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
05/27/1998
Address of Record
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO RD.
JACKSONVILLE, FL 32224
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
ABODE-IYAMAH, KINGSLEY OTSIOREN Supervising Prescribing Practitioner Medical Doctor 135498 10/16/2026
CHAICHANA, KAISORN Supervising Prescribing Practitioner Medical Doctor 133570 10/16/2026
CHEN, SELBY GUANGNAN Supervising Prescribing Practitioner Medical Doctor 124819 10/16/2026
MILLER, DAVID AUTEN Supervising Prescribing Practitioner Medical Doctor 76938 10/16/2026
NOTTMEIER, ERIC WILLIAM MD Supervising Prescribing Practitioner Medical Doctor 85268 10/16/2026
QUINONES-HINOJOSA, ALFREDO Supervising Prescribing Practitioner Medical Doctor 128754 10/16/2026
REIMER, RONALD Supervising Prescribing Practitioner Medical Doctor 48889 10/16/2026
TAWK, RABIH M D Supervising Prescribing Practitioner Medical Doctor 107760 10/16/2026

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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 10/21/2026



* 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.