License Verification

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ALBERT WILLIAM GILLESPY

License Number: ME50714

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME50714
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
06/30/1987
Address of Record
1865 LPGA Blvd
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1175 Dunlawton Ave Suite 1
PORT ORANGE, FL 32127
Address
1165 DUNLAWTON AVENUE STE 102
PORT ORANGE, FL 32127
Address
1890 LPGA BLVD STE 240
DAYTONA BEACH, FL 32117
Address
17 OLD KINGS ROAD N STE K
PALM COAST, FL 32137
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
SMITH, BETHANY Prescribing Physician Assistant Physician Assistant 9109967 1/31/2019
TOLLAND, BROOKE DYAN Dispensing Physician Assistant Physician Assistant 9105485 1/17/2024
WALLACE, THERESA ANN Dispensing Physician Assistant Physician Assistant 9113017 1/17/2024
WALLACE, THERESA ANN Prescribing Physician Assistant Physician Assistant 9113017 1/17/2024

Click on the License Number to view License Details for that Practitioner

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.


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