License Verification
Polk County Board of County Commissioners
License Number: ALS5302
Data As Of 7/4/2025
- Address
- 1140 North Galloway Road
- LAKELAND, FL 33810
- Address
- 901 Ledwith Avenue
- HAINES CITY, FL 33844
- Address
- 229 Avenue D Northwest
- WINTER HAVEN, FL 33881
- Address
- 3325 East Main Street
- LAKELAND, FL 33801
- Address
- 310 3rd Street
- AUBURNDALE, FL 33823
- Address
- 333 American Spirit Road
- WINTER HAVEN, FL 33880
- Address
- 8936 Highway 98 North
- LAKELAND, FL 33809
- Address
- 1201 Cypress Parkway
- POINCIANA, FL 34759
- Address
- 300 North Seminole Avenue
- LAKE ALFRED, FL 33850
- Address
- 1255 East Lime Street
- LAKELAND, FL 33801
- Address
- 4101 Clubhouse Road
- HIGHLAND CITY, FL 33846
- Address
- 1800 West Parker Street
- LAKELAND, FL 33815
- Address
- 6525 Ronald Reagan Parkway
- DAVENPORT, FL 33896
- Address
- 118 Merrill Avenue
- DUNDEE, FL 33838
- Address
- 9500 Marigold Avenue
- KISSIMMEE, FL 34759
- Address
- 1235 9th Street Northeast
- FORT MEADE, FL 33841
- Address
- 2902 Highway 60 East
- LAKE WALES, FL 33853
- Address
- 200 Commonwealth Boulevard Southwe
- POLK CITY, FL 33868
- Address
- 126 Cottonwood Drive
- DAVENPORT, FL 33837
- Address
- 50945 U.S. Highway 27
- DAVENPORT, FL 33837
- Address
- 3822 South Florida Avenue
- LAKELAND, FL 33813
- Address
- 5201 Cornell Street
- LAKELAND, FL 33810
- Address
- 2523 Ewell Road
- LAKELAND, FL 33813
- Address
- 2101 Register Road Southeast
- WINTER HAVEN, FL 33884
- Address
- 185 South 3rd Street
- EAGLE LAKE, FL 33839
- Address
- 2029 Florida Highway 60
- LAKE WALES, FL 33859
- Address
- 300 Kid Ellis Road
- MULBERRY, FL 33860
- Address
- 6750 Kathleen Road
- LAKELAND, FL 33809
- Address
- 4611 U.S. Highway 17-92 North
- DAVENPORT, FL 33837
- Address
- 8525 Moore Road
- LAKELAND, FL 33809
- Address
- 14684 U.S. Highway 27
- LAKE WALES, FL 33853
- Address
- 7800 Watkins Road
- HAINES CITY, FL 33844
- Address
- 6949 Old State Road 37
- BRADLEY, FL 33835
- Address
- 75 Broadway Street
- LAKE HAMILTON, FL 33851
- Address
- 714 South Scenic Highway
- BABSON PARK, FL 33827
- Address
- 260 Boy Scout Camp Road
- LAKE WALES, FL 33898
- Address
- 1450 Pinehurst Street
- BARTOW, FL 33830
- Address
- 1695 Masterpiece Road
- LAKE WALES, FL 33898
- Address
- 6221 Hogan Lane
- INDIAN LAKE ESTATES, FL 33855
- Address
- 340 Reynolds Road
- LAKELAND, FL 33801
- Address
- 348 County Road 630A
- FROSTPROOF, FL 33843
- Address
- 100 Rifle Range Road
- BARTOW, FL 33830
- Address
- 4210 Willis Road
- MULBERRY, FL 33860

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BANERJEE, PUSHPAL R | Primiary Medical Director | Osteopathic Physician | 8141 | 02/11/2014 |
SOBOWALE, OLUMIDE OLUFUNMI | Secondary Medical Director | Medical Doctor | 63869 | 10/01/2012 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
1F93544214H140232 | Permit | Vehicle Permit (ALS) | 20609 | 4/20/2017 |
1F93544224H140207 | Permit | Vehicle Permit (ALS) | 16195 | 8/30/2010 |
1F93544255H140315 | Permit | Vehicle Permit (ALS) | 19301 | 8/3/2015 |
1F93544255H140316 | Permit | Vehicle Permit (ALS) | 13624 | 3/15/2006 |
1F93544296H140403 | Permit | Vehicle Permit (ALS) | 20755 | 7/5/2017 |
1F94044217H140464 | Permit | Vehicle Permit (ALS) | 17155 | 3/30/2012 |
1F94044228H140555 | Permit | Vehicle Permit (ALS) | 20375 | 1/9/2017 |
1F94054208H140561 | Permit | Vehicle Permit (ALS) | 25891 | 3/21/2024 |
1F94054228H140562 | Permit | Vehicle Permit (ALS) | 22709 | 1/13/2020 |
1FACWFC2KHKG4096 | Permit | Vehicle Permit (ALS) | 21708 | 8/16/2018 |
1FD0W5HT8GEC45891 | Permit | Vehicle Permit (ALS) | 20164 | 10/31/2016 |
1FD0X5GT8BEC30864 | Permit | Vehicle Permit (ALS) | 22294 | 7/3/2019 |
1FD0X5GT8LEC32650 | Permit | Vehicle Permit (ALS) | 22840 | 3/3/2020 |
1FD0X5GTXLEC32651 | Permit | Vehicle Permit (ALS) | 22841 | 3/3/2020 |
1FD0X5GY0GEB79184 | Permit | Vehicle Permit (ALS) | 20124 | 10/13/2016 |
1FD0X5GY9FEA13339 | Permit | Vehicle Permit (ALS) | 18654 | 10/1/2014 |
1FDOX5GY4DEA42261 | Permit | Vehicle Permit (ALS) | 18043 | 8/20/2013 |
1FDWE3FS0JDC16619 | Permit | Vehicle Permit (ALS) | 21355 | 3/26/2018 |
1FDWE3FS9JDC14836 | Permit | Vehicle Permit (ALS) | 21354 | 3/26/2018 |
1FT7W2A65NEG16816 | Permit | Vehicle Permit (ALS) | 24968 | 3/6/2023 |
1FT7W2A68NEC15826 | Permit | Vehicle Permit (ALS) | 24076 | 11/10/2021 |
1FT7W2AA1PEC35746 | Permit | Vehicle Permit (ALS) | 25522 | 10/11/2023 |
1FT7W2AA1REC42229 | Permit | Vehicle Permit (ALS) | 26047 | 5/23/2024 |
1FT7X2BT2EEB80525 | Permit | Vehicle Permit (ALS) | 18471 | 7/10/2014 |
1FTFW1P88NKD26599 | Permit | Vehicle Permit (ALS) | 25266 | 8/15/2023 |
1FVACWDT0BDAV9765 | Permit | Vehicle Permit (ALS) | 17925 | 5/28/2013 |
1FVACWDT0EHFV1404 | Permit | Vehicle Permit (ALS) | 22981 | 5/11/2020 |
1FVACWDT0FHGK0500 | Permit | Vehicle Permit (ALS) | 18853 | 2/11/2015 |
1FVACWDT0GHHF9295 | Permit | Vehicle Permit (ALS) | 19990 | 7/6/2016 |
1FVACWDT1BDAZ1480 | Permit | Vehicle Permit (ALS) | 16440 | 1/28/2011 |
1FVACWDT1GHHK828 | Permit | Vehicle Permit (ALS) | 20504 | 3/8/2017 |
1FVACWDT2FHGK0501 | Permit | Vehicle Permit (ALS) | 19002 | 4/6/2015 |
1FVACWDT2HHJD8090 | Permit | Vehicle Permit (ALS) | 20566 | 4/12/2017 |
1FVACWDT38DAZ1481 | Permit | Vehicle Permit (ALS) | 22980 | 5/11/2020 |
1FVACWDT3BDAZ1478 | Permit | Vehicle Permit (ALS) | 16438 | 1/28/2011 |
1FVACWDT4FHGK0502 | Permit | Vehicle Permit (ALS) | 19003 | 4/6/2015 |
1FVACWDT4GHHK8281 | Permit | Vehicle Permit (ALS) | 19798 | 3/14/2016 |
1FVACWDT6FHGK0503 | Permit | Vehicle Permit (ALS) | 19004 | 4/6/2015 |
1FVACWDT6GHHC9721 | Permit | Vehicle Permit (ALS) | 19645 | 12/7/2015 |
1FVACWDT6GHHK8282 | Permit | Vehicle Permit (ALS) | 19949 | 6/14/2016 |
1FVACWDT6HHJD8089 | Permit | Vehicle Permit (ALS) | 20565 | 4/12/2017 |
1FVACWDT7BDAV9763 | Permit | Vehicle Permit (ALS) | 17923 | 5/28/2013 |
1FVACWDT7EHFV1402 | Permit | Vehicle Permit (ALS) | 18388 | 5/29/2014 |
1FVACWDT8FHGK0498 | Permit | Vehicle Permit (ALS) | 18798 | 1/13/2015 |
1FVACWDT8FHGK0499 | Permit | Vehicle Permit (ALS) | 18799 | 1/13/2015 |
1FVACWDT8GHH43683 | Permit | Vehicle Permit (ALS) | 19948 | 6/14/2016 |
1FVACWDT8GHHC9722 | Permit | Vehicle Permit (ALS) | 19566 | 10/26/2015 |
1FVACWDT8GHHK8283 | Permit | Vehicle Permit (ALS) | 20422 | 2/14/2017 |
1FVACWDT9BDAV9764 | Permit | Vehicle Permit (ALS) | 22280 | 7/3/2019 |
1FVACWDT9EHFV1403 | Permit | Vehicle Permit (ALS) | 18387 | 5/29/2014 |
1FVACWDT9GHHF9294 | Permit | Vehicle Permit (ALS) | 19989 | 7/6/2016 |
1FVACWDTXGHHC9723 | Permit | Vehicle Permit (ALS) | 19565 | 10/26/2015 |
1FVACWDTXGHHK8284 | Permit | Vehicle Permit (ALS) | 20608 | 4/20/2017 |
1FVACWFC0MHMP5935 | Permit | Vehicle Permit (ALS) | 23615 | 4/5/2021 |
1FVACWFC1JHJT2739 | Permit | Vehicle Permit (ALS) | 21159 | 12/12/2017 |
1FVACWFC1NHNC0586 | Permit | Vehicle Permit (ALS) | 25167 | 7/10/2023 |
1FVACWFC2MHMP5936 | Permit | Vehicle Permit (ALS) | 23616 | 4/5/2021 |
1FVACWFC3MHMP5931 | Permit | Vehicle Permit (ALS) | 23611 | 4/5/2021 |
1FVACWFC3NHNC0587 | Permit | Vehicle Permit (ALS) | 24358 | 6/2/2022 |
1FVACWFC3NHNC0590 | Permit | Vehicle Permit (ALS) | 24361 | 6/2/2022 |
1FVACWFC4MHMP5937 | Permit | Vehicle Permit (ALS) | 23617 | 4/5/2021 |
1FVACWFC5MHMP5932 | Permit | Vehicle Permit (ALS) | 23612 | 4/5/2021 |
1FVACWFC5NHNC0588 | Permit | Vehicle Permit (ALS) | 24359 | 6/2/2022 |
1FVACWFC5NHNC0591 | Permit | Vehicle Permit (ALS) | 24496 | 8/29/2022 |
1FVACWFC6JHJT2736 | Permit | Vehicle Permit (ALS) | 21156 | 12/12/2017 |
1FVACWFC6KHKR3878 | Permit | Vehicle Permit (ALS) | 22281 | 7/3/2019 |
1FVACWFC7MHMP5933 | Permit | Vehicle Permit (ALS) | 23613 | 4/5/2021 |
1FVACWFC7NHNC0589 | Permit | Vehicle Permit (ALS) | 24360 | 6/2/2022 |
1FVACWFC8JHJT2737 | Permit | Vehicle Permit (ALS) | 21157 | 12/12/2017 |
1FVACWFC8JHJT2740 | Permit | Vehicle Permit (ALS) | 21160 | 12/12/2017 |
1FVACWFC8KHKR3879 | Permit | Vehicle Permit (ALS) | 22282 | 7/3/2019 |
1FVACWFC8KHKR3882 | Permit | Vehicle Permit (ALS) | 22292 | 7/3/2019 |
1FVACWFC9MHMP5934 | Permit | Vehicle Permit (ALS) | 23614 | 4/5/2021 |
1FVACWFCXJHJT2738 | Permit | Vehicle Permit (ALS) | 21158 | 12/12/2017 |
1FVACWFCXKHKR3883 | Permit | Vehicle Permit (ALS) | 22293 | 7/3/2019 |
1FVACWFCXNHNC0585 | Permit | Vehicle Permit (ALS) | 24165 | 1/25/2022 |
1GC1CUEG5HF116697 | Permit | Vehicle Permit (ALS) | 20737 | 6/21/2017 |
1GC1CUEG7JF170220 | Permit | Vehicle Permit (ALS) | 21377 | 4/9/2018 |
1S9A1BND0P1003176 | Permit | Vehicle Permit (ALS) | 27141 | 7/2/2025 |
1S9A1HD6G1003055 | Permit | Vehicle Permit (ALS) | 22475 | 9/12/2019 |
1S9A1HND2N1003051 | Permit | Vehicle Permit (ALS) | 24420 | 7/11/2022 |
1S9A1HND8G1003056 | Permit | Vehicle Permit (ALS) | 19950 | 6/14/2016 |
1S9A7LLE952003040 | Permit | Vehicle Permit (ALS) | 18374 | 5/15/2014 |
2FZACFDT7AAAN3339 | Permit | Vehicle Permit (ALS) | 15523 | 5/19/2009 |
2GC2KREG7K1162308 | Permit | Vehicle Permit (ALS) | 22177 | 4/25/2019 |
2GC2KREG8K1818 | Permit | Vehicle Permit (ALS) | 22115 | 3/19/2019 |
3ALACEFC9KDKS9466 | Permit | Vehicle Permit (ALS) | 22283 | 7/3/2019 |
3ALACWFC0JDJW5723 | Permit | Vehicle Permit (ALS) | 21161 | 12/12/2017 |
3ALACWFC1JDJW5729 | Permit | Vehicle Permit (ALS) | 21167 | 12/12/2017 |
3ALACWFC1KDKS9446 | Permit | Vehicle Permit (ALS) | 22285 | 7/3/2019 |
3ALACWFC2JDJW5724 | Permit | Vehicle Permit (ALS) | 21162 | 12/12/2017 |
3ALACWFC2RDUX4440 | Permit | Vehicle Permit (ALS) | 26039 | 5/22/2024 |
3ALACWFC2RDUX4441 | Permit | Vehicle Permit (ALS) | 26040 | 5/22/2024 |
3ALACWFC2RDUX4442 | Permit | Vehicle Permit (ALS) | 26041 | 5/22/2024 |
3ALACWFC2RDUX4443 | Permit | Vehicle Permit (ALS) | 26042 | 5/22/2024 |
3ALACWFC2RDUX4444 | Permit | Vehicle Permit (ALS) | 26035 | 5/22/2024 |
3ALACWFC2RDUX4445 | Permit | Vehicle Permit (ALS) | 26036 | 5/22/2024 |
3ALACWFC2RDUX4446 | Permit | Vehicle Permit (ALS) | 26037 | 5/22/2024 |
3ALACWFC2RDUX4447 | Permit | Vehicle Permit (ALS) | 26038 | 5/22/2024 |
3ALACWFC3KDKS9447 | Permit | Vehicle Permit (ALS) | 22286 | 7/3/2019 |
3ALACWFC3KDKS9450 | Permit | Vehicle Permit (ALS) | 22289 | 7/3/2019 |
3ALACWFC3PDNU5583 | Permit | Vehicle Permit (ALS) | 25017 | 4/12/2023 |
3ALACWFC4JDJW5725 | Permit | Vehicle Permit (ALS) | 21163 | 12/12/2017 |
3ALACWFC5KDKS9448 | Permit | Vehicle Permit (ALS) | 22287 | 7/3/2019 |
3ALACWFC5KDKS9451 | Permit | Vehicle Permit (ALS) | 22290 | 7/3/2019 |
3ALACWFC5PDNU5584 | Permit | Vehicle Permit (ALS) | 25018 | 4/12/2023 |
3ALACWFC6JDJW5726 | Permit | Vehicle Permit (ALS) | 21164 | 12/12/2017 |
3ALACWFC7KDKS9449 | Permit | Vehicle Permit (ALS) | 22288 | 7/3/2019 |
3ALACWFC7KDKS9452 | Permit | Vehicle Permit (ALS) | 22291 | 7/3/2019 |
3ALACWFC8JDJW5727 | Permit | Vehicle Permit (ALS) | 21165 | 12/12/2017 |
3ALACWFC9KDKS9467 | Permit | Vehicle Permit (ALS) | 22284 | 7/3/2019 |
3ALACWFCXJDJW5728 | Permit | Vehicle Permit (ALS) | 21166 | 12/12/2017 |
44KFT42858WZ21192 | Permit | Vehicle Permit (ALS) | 15481 | 4/21/2009 |
44KTF4283AWZ21908 | Permit | Vehicle Permit (ALS) | 17156 | 3/30/2012 |
4EN6AAA80J1001677 | Permit | Vehicle Permit (ALS) | 22041 | 2/7/2019 |
4EN6AAA81J1001400 | Permit | Vehicle Permit (ALS) | 21990 | 1/10/2019 |
4EN6AAA81K1002029 | Permit | Vehicle Permit (ALS) | 22443 | 8/22/2019 |
4EN6AAA81L1002744 | Permit | Vehicle Permit (ALS) | 22979 | 5/11/2020 |
4EN6AAA85J1001402 | Permit | Vehicle Permit (ALS) | 23124 | 8/17/2020 |
4EN6AAA88L1002742 | Permit | Vehicle Permit (ALS) | 22977 | 5/11/2020 |
4EN6AAA89J1001399 | Permit | Vehicle Permit (ALS) | 21989 | 1/10/2019 |
4EN6AAA89J1001676 | Permit | Vehicle Permit (ALS) | 21993 | 1/10/2019 |
4EN6AAA8XL1002743 | Permit | Vehicle Permit (ALS) | 22978 | 5/11/2020 |
4EN8AAA83J1001401 | Permit | Vehicle Permit (ALS) | 21991 | 1/10/2019 |
4ENRAAA8661001381 | Permit | Vehicle Permit (ALS) | 14690 | 1/4/2008 |
4ENRAAA8951000031 | Permit | Vehicle Permit (ALS) | 13777 | 7/19/2006 |
4P1BAAFF2GA015943 | Permit | Vehicle Permit (ALS) | 25887 | 3/21/2024 |
4P1BAAFF4GA015944 | Permit | Vehicle Permit (ALS) | 19700 | 1/20/2016 |
4P1BAAFF4NA025077 | Permit | Vehicle Permit (ALS) | 25016 | 4/12/2023 |
4P1BAAFF4NA025078 | Permit | Vehicle Permit (ALS) | 25015 | 4/12/2023 |
4P1BAAFF5NA024620 | Permit | Vehicle Permit (ALS) | 25860 | 3/7/2024 |
4P1BAAFF7MA023404 | Permit | Vehicle Permit (ALS) | 24121 | 12/8/2021 |
4P1BAAFF9MA023405 | Permit | Vehicle Permit (ALS) | 24122 | 12/8/2021 |
4P1BAAGF2GA016394 | Permit | Vehicle Permit (ALS) | 20376 | 1/9/2017 |
4P1BAAGF4GA015795 | Permit | Vehicle Permit (ALS) | 19567 | 10/28/2015 |
4P1BAAGF4GA016395 | Permit | Vehicle Permit (ALS) | 20653 | 5/8/2017 |
4P1BAAGF5JA018132 | Permit | Vehicle Permit (ALS) | 20965 | 10/5/2017 |
4P1BAAGF6GA015796 | Permit | Vehicle Permit (ALS) | 19568 | 10/28/2015 |
4P1BAAGF6KA020585 | Permit | Vehicle Permit (ALS) | 22311 | 7/10/2019 |
4P1BAAGF8MA023295 | Permit | Vehicle Permit (ALS) | 24262 | 3/28/2022 |
4P1BBAGF5FA015297 | Permit | Vehicle Permit (ALS) | 18852 | 2/12/2015 |
4P1BCAFF0PA025932 | Permit | Vehicle Permit (ALS) | 25859 | 3/7/2024 |
4P1BCAFF1NA024950 | Permit | Vehicle Permit (ALS) | 25014 | 4/12/2023 |
4P1BCAFF1RA026607 | Permit | Vehicle Permit (ALS) | 26178 | 8/6/2024 |
4P1BCAFF3RA026611 | Permit | Vehicle Permit (ALS) | 26179 | 8/6/2024 |
4P1BCAGFFXPA025256 | Permit | Vehicle Permit (ALS) | 25168 | 7/10/2023 |
4P1CU01E29A009566 | Permit | Vehicle Permit (ALS) | 15482 | 4/23/2009 |
4P1CU01E76A006500 | Permit | Vehicle Permit (ALS) | 16407 | 1/18/2011 |
4P1CU01E7AA010863 | Permit | Vehicle Permit (ALS) | 16133 | 7/16/2010 |
4P1CU01E8BA011473 | Permit | Vehicle Permit (ALS) | 16409 | 1/18/2011 |
4P1CU01EX5A005632 | Permit | Vehicle Permit (ALS) | 20163 | 10/31/2016 |
4P1CU01N3DA013635 | Permit | Vehicle Permit (ALS) | 17824 | 3/13/2013 |
4P1CV01A0CA012841 | Permit | Vehicle Permit (ALS) | 20374 | 1/9/2017 |
4P1CV01AXBA012134 | Permit | Vehicle Permit (ALS) | 17010 | 12/5/2011 |
4P1CV01D1DA013878 | Permit | Vehicle Permit (ALS) | 18118 | 9/30/2013 |
4P1CV01D1EA013915 | Permit | Vehicle Permit (ALS) | 25135 | 6/15/2023 |
4P1CV01D3DA013865 | Permit | Vehicle Permit (ALS) | 24120 | 12/8/2021 |
4P1CV01D5DA013866 | Permit | Vehicle Permit (ALS) | 21378 | 4/9/2018 |
4P1CV01D7DA013867 | Permit | Vehicle Permit (ALS) | 25134 | 6/15/2023 |
4P1CV0D9DA013868 | Permit | Vehicle Permit (ALS) | 23410 | 1/11/2021 |
4S7HT23912C040149 | Permit | Vehicle Permit (ALS) | 14689 | 1/4/2008 |
4S7HT2393YC034460 | Permit | Vehicle Permit (ALS) | 14390 | 6/14/2007 |
4S7HT2B937CO57169 | Permit | Vehicle Permit (ALS) | 14345 | 5/21/2007 |
4S7HT2B987CO58253 | Permit | Vehicle Permit (ALS) | 17463 | 9/11/2012 |
4S7HT2B9X7C058254 | Permit | Vehicle Permit (ALS) | 17577 | 11/20/2012 |
4UZABRDJ49CAE1887 | Permit | Vehicle Permit (ALS) | 25622 | 11/20/2023 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|
Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 7/4/2025
* 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.