License Verification

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JUSTINA LENA JACQUELINE BRANTLEY

License Number: PA9118933

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9118933
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/27/2024
Address of Record
14915 Osprey Nest Loop
Apartment 216, Building 100
LUTZ, FL 33559
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
BEER FURLAN, ANDRE LUIZ Supervising Prescribing Practitioner Medical Doctor 147409 07/15/2024
ETAME, ARNOLD BESOHONG Supervising Prescribing Practitioner Medical Doctor 113907 07/15/2024
LIU, JAMES Supervising Prescribing Practitioner Medical Doctor 134977 07/15/2024
TRAN, NAM DUY Supervising Prescribing Practitioner Medical Doctor 104545 07/15/2024
VOGELBAUM, MICHAEL ALAN Supervising Prescribing Practitioner Medical Doctor 138367 07/15/2024

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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 12/23/2024



* 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.