License Verification

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GLENN R MCKEON

License Number: PA1759

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA1759
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/04/1987
Address of Record
HWY 20 WEST
PUTNAM COMMUNITY MEDICAL CENTER
PALATKA, FL 32177
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
6500 Crill Avenue
PALATKA, FL 32177
Name Relationship Profession License Effective Date
PRYTKOV, ALEXEI MIKHAILOVICH Supervising Prescribing Practitioner Medical Doctor 123293 01/01/2022

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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.