License Verification
TIMOTHY WAYNE HENDRIX
License Number: ME65142
Data As Of 12/22/2024
- Address
- 5821 S. Williamson Blvd Suite
- PORT ORANGE, FL 32128
- Address
- 6419 S. Lakeland Ave Suite 109
- LAKELAND, FL 33813
- Address
- 11001 West Colonial Drive Suit
- OCOEE, FL 34761
- Address
- 11001 W Colonial Dr Suite 110
- OCOEE, FL 34761
- Address
- 2325 W Fairbanks Ave Suite 2
- WINTER PARK, FL 32789
- Address
- 20205 US Hwy 27
- LAKE WALES, FL 33853
- Address
- 730 Malabar Rd Ste B
- MALABAR, FL 32950
- Address
- 1223 Gateway Dr. Ste 1E
- MELBOURNE, FL 32901
- Address
- 105 S. Banana River Blvd
- COCOA BEACH, FL 32931
- Address
- 2335 S. Washington Ave
- TITUSVILLE, FL 32780
- Address
- 603 North Washington Ave suite 101
- TITUSVILLE, FL 32796
- Address
- 627 Progress Way
- SANFORD, FL 32771
- Address
- 3708 SW College Rd
- OCALA, FL 34474
- Address
- 40124 US Hwy 27 Suite 206
- DAVENPORT, FL 33837
- Address
- 1925 Mizell Ave
- WINTER PARK, FL 32797
- Address
- 423 Linden Lane
- LAKE WALES, FL 33853
- Address
- 1000 DARDEN CENTER DRIVE
- ORLANDO, FL 32837
- Address
- 1127 BRUCE B. DOWNS BLVD
- WESLEY CHAPEL, FL 33544
- Address
- 1001 N Lake Destiny Road 1st Floor
- MAITLAND, FL 32751
- Address
- 1270 PALM COAST PARKWAY NW
- PALM COAST, FL 32137
- Address
- 400 CELEBRATION PL SUITE A150
- CELEBRATION, FL 34747
- Address
- 2600 WESTHALL LANE BOX 300
- MAITLAND, FL 32751
- Address
- 105 SOUTH COUNTRY CLUB ROAD
- LAKE MARY, FL 32746
- Address
- 2948 Lake Mary Blvd
- LAKE MARY, FL 32746
- Address
- 9637 Lake Nona Village
- ORLANDO, FL 32827
- Address
- 5504 GATEWAY BLVD
- WESLEY CHAPEL, FL 33543
- Address
- 3005 DANIELS ROAD
- WINTER GARDEN, FL 34787
- Address
- 2325 W. FAIRBANKS AVE.
- WINTER PARK, FL 32789
- Address
- 301 NORTH DALE MABRY HGWY
- TAMPA, FL 33609
- Address
- 630 N BUMBY AVENUE
- ORLANDO, FL 32803
- Address
- 1208 DUNLAWTON AVE
- PORT ORANGE, FL 32127
- Address
- 8201 W. IRLO BRONSON HIGHWAY
- KISSIMMEE, FL 34747
- Address
- 201 HILDA STREET SUITE 35
- KISSIMMEE, FL 34741
- Address
- 4451 WEST 1ST STREET
- SANFORD, FL 32771
- Address
- 200 N. LAKEMONT AVE WINTER PARK EMPLOYEE CLINIC
- WINTER PARK, FL 32792
- Address
- 2609 SOUTH ORANGE AVE.
- ORLANDO, FL 32806-4547
- Address
- 3099 ALOMA AVENUE
- WINTER PARK, FL 32792
- Address
- 440 W HIGHWAY 436
- ALTAMONTE SPRINGS, FL 32714
- Address
- 5810 S SEMORAN BLVD
- ORLANDO, FL 32822
- Address
- 4400 ALAFAYA TRAIL
- ORLANDO, FL 32826
- Address
- 4660 13TH STREET
- SAINT CLOUD, FL 34769
- Address
- 7848 W IRLO BRONSON HGWY
- KISSIMMEE, FL 34747
- Address
- 8701 MAITLAND SUMMIT BLVD
- ORLANDO, FL 32810
- Address
- 3293 GREENWALD WAY NORTH
- KISSIMMEE, FL 34741
- Address
- 509 S SEMORAN BLVD
- ORLANDO, FL 32807
- Address
- 12500 S APOPKA VINELAND ROAD
- ORLANDO, FL 32836
- Address
- 2540 LEE ROAD
- WINTER PARK, FL 32789
- Address
- 855 S US HIGHWAY 17 92
- LONGWOOD, FL 32750
- Address
- 15701 STATE ROAD 50 SUITE 101
- CLERMONT, FL 34711
- Address
- 2301 SAND LAKE ROAD
- ORLANDO, FL 32809
- Address
- 250 N ALAFAYA TRAIL SUITE 135
- ORLANDO, FL 32825
- Address
- 8010 RED BUG ROAD
- OVIEDO, FL 32765-8084
- Address
- 4320 W VINE STREET
- KISSIMMEE, FL 34746
- Address
- 9580 W COLONIAL DRIVE
- OCOEE, FL 34761
- Address
- 601 E. ALTAM ONTE DR.
- ALTAMONTE SPRINGS, FL 32701
- Address
- 201 HILDA STREET SUITE 20
- KISSIMMEE, FL 34741
- Address
- 11550 UNIVERSITY BLVD
- ORLANDO, FL 32817
- Address
- 7727 LAKE UNDERHILL RD.
- ORLANDO, FL 32822
- Address
- 3637 US Hwy 98
- LAKELAND, FL 33809
- Address
- 1103 N. 14TH ST.
- LEESBURG, FL 34748
- Address
- 4001 W. LINEBAUGH AVE.
- TAMPA, FL 33624
- Address
- 1014 W. Intl SPEEDWAY BLVD
- DAYTONA BEACH, FL 32114
- Address
- 19015 US HIGHWAY 441
- MOUNT DORA, FL 32757
- Address
- 1925 MIZELL AVE SUITE 100
- WINTER PARK, FL 32792
- Address
- 10222 BLOOMINGDALE AVE
- RIVERVIEW, FL 33578
- Address
- 8014 CONROY WINDERMERE ROAD STE 104
- ORLANDO, FL 32835
- Address
- 6277 Sea Harbor Dr
- ORLANDO, FL 32821
- Address
- 9303 Jeff Fuqua Blvd suite 2578
- ORLANDO, FL 32827
- Address
- 11001 West Colonial Dr Suite 110
- OCOEE, FL 34761
- Address
- 9225 Miley Drive Suite 100
- WINTER GARDEN, FL 34787
- Address
- 1520 W. Orange Blossom Trail
- APOPKA, FL 32712
- Address
- 5821 S. Williamson Blvd suite 205
- PORT ORANGE, FL 32128
- Address
- 6345 N. Wickham Road Ste 101
- MELBOURNE, FL 32940
- Address
- 2488 E. Irlo Bronson Memorial
- KISSIMMEE, FL 34744
- Address
- 6419 S Florida Ave, Ste 109
- LAKELAND, FL 33813
- Address
- 2345 E Highway 50
- CLERMONT, FL 34711
- Address
- 5850 W Irlo Bronson Memorial H
- KISSIMMEE, FL 34746
- Address
- 3030 E. Semoran Blvd Ste 264
- APOPKA, FL 32703
- Address
- 4757 The Grove Drive Suite 132
- WINDERMERE, FL 34786
- Address
- 25 S. Terry Ave Suite 310
- ORLANDO, FL 32805
- Address
- 4425 West 1st Street
- SANFORD, FL 32771
- Address
- 885 N. Alafaya Trail Ste G04
- ORLANDO, FL 32828
- Address
- 1919 E. Highway 50 Ste 205
- CLERMONT, FL 34711
- Address
- 3131 Daniels Rd Ste 106
- WINTER GARDEN, FL 34787
- Address
- 153 Sugar Belle Drive Suite J
- WINTER GARDEN, FL 34787
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ALEXIS, JANEAH | Supervising Prescribing Practitioner | Osteopathic Physician | 20003 | 06/28/2023 |
FISHER, ALLEN MICHAEL | Supervising Prescribing Practitioner | Osteopathic Physician | 6992 | 08/01/2021 |
GHALY, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 169260 | 08/20/2024 |
GOYAL, KAMAL KUMAR MD | Supervising Prescribing Practitioner | Medical Doctor | 132449 | 05/01/2023 |
HEMBREE, TIMOTHY NELSON | Supervising Prescribing Practitioner | Osteopathic Physician | 12077 | 11/01/2021 |
HENDRIX, TIMOTHY WAYNE | Supervising Dispensing Practitioner | Medical Doctor | 65142 | 12/05/2022 |
HENDRIX, TIMOTHY WAYNE | Supervising Prescribing Practitioner | Medical Doctor | 65142 | 11/07/2023 |
MONEY, ADAM | Supervising Prescribing Practitioner | Medical Doctor | 151901 | 05/10/2024 |
OTT, PAUL CARL | Supervising Prescribing Practitioner | Osteopathic Physician | 18168 | 10/25/2021 |
VELASCO, ANDRES FELIPE | Supervising Prescribing Practitioner | Medical Doctor | 96936 | 08/01/2021 |
WESOLOW, JACQUELINE TANYA | Supervising Prescribing Practitioner | Osteopathic Physician | 12792 | 11/01/2022 |
ZIMMER, BRIAN | Supervising Dispensing Practitioner | Osteopathic Physician | 18890 | 09/01/2022 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ABBASI, SOGAND | Dispensing Physician Assistant | Physician Assistant | 9118203 | 12/2/2024 |
ABBASI, SOGAND | Prescribing Physician Assistant | Physician Assistant | 9118203 | 9/18/2024 |
ABENINA, JULIUS ANTHONY | Dispensing Physician Assistant | Physician Assistant | 9107619 | 8/13/2020 |
AGUILAR, GUSTAVO A | Dispensing Physician Assistant | Physician Assistant | 9103544 | 8/20/2020 |
ALIAGA, ANTHONY | Dispensing Physician Assistant | Physician Assistant | 9108375 | 8/16/2020 |
ALLEN, DOROTHY | Dispensing Physician Assistant | Physician Assistant | 9115823 | 5/22/2023 |
ALLEN, DOROTHY | Prescribing Physician Assistant | Physician Assistant | 9115823 | 5/22/2023 |
ANDONI, ANISA | Dispensing Physician Assistant | Physician Assistant | 9108352 | 10/2/2017 |
APPLEBEE, LARRY ERNEST | Dispensing Physician Assistant | Physician Assistant | 9102669 | 10/18/2021 |
ARAUJO, ANDY | Prescribing Physician Assistant | Physician Assistant | 9112075 | 8/24/2021 |
AZIZ, MENA | Dispensing Physician Assistant | Physician Assistant | 9116533 | 9/19/2022 |
AZIZ, MENA | Prescribing Physician Assistant | Physician Assistant | 9116533 | 9/19/2022 |
BALDWIN, EDWARD BECK III | Dispensing Physician Assistant | Physician Assistant | 9107136 | 8/26/2021 |
BARBATO, XENIA N | Dispensing Physician Assistant | Physician Assistant | 9107310 | 8/5/2021 |
BARNES, MICHAEL WILLIAM | Dispensing Physician Assistant | Physician Assistant | 9102604 | 9/27/2017 |
BAUMGARDNER, MAXEN LANE | Subordinate | Osteopathic Physician | 10872 | 1/29/2021 |
BAXTER, SEAN MICHAEL | Dispensing Physician Assistant | Physician Assistant | 9116039 | 6/21/2022 |
BELABIN, JEFFREY HOWARD | Dispensing Physician Assistant | Physician Assistant | 9101384 | 10/2/2017 |
BERRINGER, SEAN | Dispensing Physician Assistant | Physician Assistant | 9119319 | 10/21/2024 |
BETCHERMAN, AVI STEVEN | Dispensing Physician Assistant | Physician Assistant | 9109090 | 7/16/2022 |
BOYER, EMMA | Dispensing Physician Assistant | Physician Assistant | 9110409 | 3/12/2024 |
BOYER, EMMA | Prescribing Physician Assistant | Physician Assistant | 9110409 | 3/12/2024 |
BRODKIN, STUART I | Dispensing Physician Assistant | Physician Assistant | 9101739 | 8/23/2021 |
BRYAN, NYKIA-GEORGE ANTHEA | Dispensing Physician Assistant | Physician Assistant | 9113144 | 8/21/2021 |
BRYANT, HEATHER NICOLE | Dispensing Physician Assistant | Physician Assistant | 9110015 | 8/27/2020 |
BUNCE, SHILPY | Dispensing Physician Assistant | Physician Assistant | 9118040 | 1/9/2024 |
BUNCE, SHILPY | Prescribing Physician Assistant | Physician Assistant | 9118040 | 1/9/2024 |
BURKE, MAKEBA JOY | Dispensing Physician Assistant | Physician Assistant | 9107373 | 8/11/2021 |
BURKE, MAKEBA JOY | Prescribing Physician Assistant | Physician Assistant | 9107373 | 8/11/2021 |
BURNS, BLAIR THOMAS | Dispensing Physician Assistant | Physician Assistant | 9108236 | 9/15/2020 |
BURNS, BLAIR THOMAS | Prescribing Physician Assistant | Physician Assistant | 9108236 | 10/5/2020 |
BUSTAMANTE, MELANIE ROSE | Dispensing Physician Assistant | Physician Assistant | 9119508 | 11/1/2024 |
BUSTAMANTE, MELANIE ROSE | Prescribing Physician Assistant | Physician Assistant | 9119508 | 11/1/2024 |
CAMPOS, ANDY MICHAEL | Dispensing Physician Assistant | Physician Assistant | 9108520 | 2/8/2018 |
CARBONE, OLIVIA | Dispensing Physician Assistant | Physician Assistant | 9116980 | 2/1/2023 |
CARBONE, OLIVIA | Prescribing Physician Assistant | Physician Assistant | 9116980 | 2/1/2023 |
CARRAZANA, JASON DANIEL | Dispensing Physician Assistant | Physician Assistant | 9116442 | 10/3/2022 |
CAVALCANTE, ALESSANDRO ALVES | Dispensing Physician Assistant | Physician Assistant | 9105334 | 10/21/2024 |
CAVALCANTE, ALESSANDRO ALVES | Prescribing Physician Assistant | Physician Assistant | 9105334 | 10/21/2024 |
CHAMPANERIA, KRUPALI | Dispensing Physician Assistant | Physician Assistant | 9117761 | 9/5/2023 |
CHAMPANERIA, KRUPALI | Prescribing Physician Assistant | Physician Assistant | 9117761 | 9/5/2023 |
CHAPUT, ANDREA MICHELLE | Dispensing Physician Assistant | Physician Assistant | 9105370 | 8/12/2020 |
CHRISTIANSON SAVAGE, CAJIN RAIN | Dispensing Physician Assistant | Physician Assistant | 9115972 | 9/11/2022 |
CHRISTIANSON SAVAGE, CAJIN RAIN | Prescribing Physician Assistant | Physician Assistant | 9115972 | 10/14/2022 |
CONROY, PAIGE M | Dispensing Physician Assistant | Physician Assistant | 9114749 | 11/14/2021 |
CONROY, PAIGE M | Prescribing Physician Assistant | Physician Assistant | 9114749 | 11/14/2021 |
CORRELL, VICTORIA | Dispensing Physician Assistant | Physician Assistant | 9111971 | 9/13/2021 |
CRAIG, DAVID CLAYTON | Dispensing Physician Assistant | Physician Assistant | 9115161 | 10/23/2022 |
CRESPO-RAMOS, NEISHA ANGELICA | Prescribing Physician Assistant | Physician Assistant | 9116362 | 5/12/2023 |
DALEY, ANDRE M | Dispensing Physician Assistant | Physician Assistant | 9112006 | 7/22/2022 |
DALEY, ANDRE M | Prescribing Physician Assistant | Physician Assistant | 9112006 | 7/22/2022 |
DALEY, JANIN CHRISTIN | Dispensing Physician Assistant | Medical Doctor | 123412 | 8/3/2020 |
DAMICO, MICHAEL | Dispensing Physician Assistant | Physician Assistant | 9113281 | 8/20/2020 |
DE LA ROCHA, JOSE JULIAN | Dispensing Physician Assistant | Physician Assistant | 3333 | 10/2/2017 |
DEGROAT, JONATHAN THOMAS | Subordinate | Medical Doctor | 114356 | 1/29/2021 |
DELANEY, CHARLES BRUCE | Dispensing Physician Assistant | Physician Assistant | 3587 | 8/15/2020 |
DELANEY, MATTHEW FRANCIS | Dispensing Physician Assistant | Physician Assistant | 9104101 | 8/10/2020 |
DEMPEL, SUSANN CAROLYN | Dispensing Physician Assistant | Physician Assistant | 9107862 | 8/11/2020 |
DENTON, SLOANE MATHIS | Dispensing Physician Assistant | Physician Assistant | 9108116 | 7/17/2022 |
DESOUZA, AUREA DASILVA | Dispensing Physician Assistant | Physician Assistant | 9118532 | 3/25/2024 |
DESOUZA, AUREA DASILVA | Prescribing Physician Assistant | Physician Assistant | 9118532 | 3/25/2024 |
DICKERMAN, SHEILA R | Dispensing Physician Assistant | Physician Assistant | 9105799 | 5/16/2023 |
DIGIULIO, MEGHAN ELLEN | Prescribing Physician Assistant | Physician Assistant | 9112022 | 8/25/2021 |
DOMICO, JONATHAN DAVID | Dispensing Physician Assistant | Physician Assistant | 9104899 | 8/14/2020 |
EDGIL, JUSTIN M | Dispensing Physician Assistant | Physician Assistant | 9118274 | 9/9/2024 |
EDGIL, JUSTIN M | Prescribing Physician Assistant | Physician Assistant | 9118274 | 9/9/2024 |
EFREMOSKI, ANN MCCULLOUGH | Dispensing Physician Assistant | Physician Assistant | 9105836 | 9/7/2021 |
EL BOUGRINI, ZINEB | Dispensing Physician Assistant | Physician Assistant | 9110744 | 9/20/2022 |
EL BOUGRINI, ZINEB | Prescribing Physician Assistant | Physician Assistant | 9110744 | 9/20/2022 |
ENSOR, JENNIFER M | Dispensing Physician Assistant | Physician Assistant | 9117139 | 3/20/2023 |
ENSOR, JENNIFER M | Prescribing Physician Assistant | Physician Assistant | 9117139 | 3/20/2023 |
EVANS, HENYA | Dispensing Physician Assistant | Physician Assistant | 9106419 | 8/15/2021 |
FERREIRA, JOHN FRANCIS | Dispensing Physician Assistant | Physician Assistant | 9104195 | 8/14/2020 |
FIGUEROA MATIAS, YARELIS | Dispensing Physician Assistant | Physician Assistant | 9109525 | 1/27/2021 |
FLOREZ, CAMILO ERNESTO | Subordinate | Medical Doctor | 74078 | 8/18/2020 |
FORTE, LOUISE M | Dispensing Physician Assistant | Physician Assistant | 3113 | 9/21/2021 |
FRENCH, ADRIANNE | Dispensing Physician Assistant | Physician Assistant | 9111052 | 8/9/2020 |
GADALEAN, CHRISTINA ANN | Dispensing Physician Assistant | Osteopathic Physician | 12344 | 1/26/2021 |
GADALEAN, CHRISTINA ANN | Subordinate | Osteopathic Physician | 12344 | 1/29/2021 |
GALLIMORE, JANICE ELLEN YOLANDE | Dispensing Physician Assistant | Physician Assistant | 9106585 | 10/2/2017 |
GARDENS, JOSE B | Dispensing Physician Assistant | Physician Assistant | 9100180 | 8/17/2020 |
GARRIGUS, ROBERT PAUL | Dispensing Physician Assistant | Physician Assistant | 9109653 | 8/7/2021 |
GASKILL, LAURA NICOLE | Dispensing Physician Assistant | Physician Assistant | 9107917 | 12/17/2020 |
GENTRY, RACHAEL LEIGH | Dispensing Physician Assistant | Physician Assistant | 9108099 | 8/7/2020 |
GORMAN, KRISTA RENE | Dispensing Physician Assistant | Physician Assistant | 9101480 | 8/13/2021 |
GRIDER, KRISTEN MARIE | Dispensing Physician Assistant | Physician Assistant | 9105216 | 8/17/2020 |
GUERRA, XAVIER SANTIAGO | Dispensing Physician Assistant | Physician Assistant | 9117313 | 5/8/2023 |
GUERRA, XAVIER SANTIAGO | Prescribing Physician Assistant | Physician Assistant | 9117313 | 3/30/2023 |
GUIMOND, GUY | Prescribing Physician Assistant | Physician Assistant | 9110958 | 3/11/2020 |
HABERSBRUNNER, LISA M | Dispensing Physician Assistant | Physician Assistant | 9108678 | 12/9/2020 |
HARTMANN, STEFAN THOMAS | Dispensing Physician Assistant | Physician Assistant | 9111847 | 8/17/2021 |
HEHRE, ROBERT JAGGER | Dispensing Physician Assistant | Physician Assistant | 9114495 | 3/2/2022 |
HENDRIX, TIMOTHY WAYNE | Dispensing Physician Assistant | Medical Doctor | 65142 | 12/5/2022 |
HENDRIX, TIMOTHY WAYNE | Prescribing Physician Assistant | Medical Doctor | 65142 | 11/7/2023 |
HERNANDEZ ROMAN, JULIO CESAR | Dispensing Physician Assistant | Physician Assistant | 9113605 | 8/9/2021 |
HIGUERA, KAREN | Dispensing Physician Assistant | Physician Assistant | 9110949 | 8/8/2020 |
HOARD, MICHAEL RYAN | Dispensing Physician Assistant | Physician Assistant | 9112164 | 8/22/2020 |
HOLMBECK, TERI MICHELLE | Dispensing Physician Assistant | Physician Assistant | 9105696 | 8/2/2021 |
HOLT, CHARDE BREANN | Dispensing Physician Assistant | Physician Assistant | 9112643 | 9/22/2022 |
HOWARD, JEREMIAH S | Dispensing Physician Assistant | Physician Assistant | 9107166 | 7/27/2022 |
HUMFELD, KAITLYN JILL | Dispensing Physician Assistant | Physician Assistant | 9111599 | 8/12/2020 |
HUNTER, JEFFREY LYALL MD | Dispensing Physician Assistant | Medical Doctor | 77885 | 2/13/2024 |
HUSSEIN, KHADIJA YOUSSEF | Dispensing Physician Assistant | Physician Assistant | 9109810 | 12/3/2020 |
IDONE, JOSE ALEJANDRO | Dispensing Physician Assistant | Physician Assistant | 9111973 | 1/25/2021 |
IMHOFF, LUCINDA RENEE | Dispensing Physician Assistant | Physician Assistant | 9106535 | 8/10/2022 |
ISAKHAROV, MARGARITA | Dispensing Physician Assistant | Medical Doctor | 117365 | 8/30/2021 |
IVANOV, RUSLAN | Dispensing Physician Assistant | Medical Doctor | 77225 | 12/9/2020 |
JANSSEN, BRIANNA MARIE | Dispensing Physician Assistant | Physician Assistant | 9112026 | 8/25/2021 |
JASIMUDDIN, SHEIKH KHWAJA | Dispensing Physician Assistant | Medical Doctor | 100463 | 1/23/2021 |
JASIMUDDIN, SHEIKH KHWAJA | Subordinate | Medical Doctor | 100463 | 1/23/2021 |
JEAN, WILLIAMSON | Dispensing Physician Assistant | Physician Assistant | 9113379 | 8/5/2021 |
JEUNG, HAE | Dispensing Physician Assistant | Physician Assistant | 9113007 | 8/3/2021 |
KIRBY, SARA E | Subordinate | Medical Doctor | 113449 | 12/8/2020 |
KLEIN, JESSICA | Dispensing Physician Assistant | Physician Assistant | 9116441 | 9/14/2022 |
KLEIN, JESSICA | Prescribing Physician Assistant | Physician Assistant | 9116441 | 9/14/2022 |
KOLANKO, KAYLA MARIE | Dispensing Physician Assistant | Physician Assistant | 9113956 | 1/20/2021 |
LABINGER, SETH DOUGLAS MD | Dispensing Physician Assistant | Medical Doctor | 65884 | 8/6/2020 |
LAMBIE, NATALIE DAWN | Subordinate | Osteopathic Physician | 11732 | 1/26/2021 |
LAMOREAUX, HEIDI | Dispensing Physician Assistant | Physician Assistant | 9110720 | 8/20/2021 |
LARES PEREZ, JUAN MANUEL | Dispensing Physician Assistant | Physician Assistant | 9117299 | 4/28/2023 |
LE, MICHELLE | Dispensing Physician Assistant | Physician Assistant | 9116850 | 12/8/2022 |
LEFERE, ASHLEY MARIE | Dispensing Physician Assistant | Physician Assistant | 9110344 | 8/4/2020 |
LENTZ, JUSTIN | Dispensing Physician Assistant | Physician Assistant | 9117333 | 3/6/2023 |
LENTZ, JUSTIN | Prescribing Physician Assistant | Physician Assistant | 9117333 | 5/8/2023 |
LEVY OBANDO, JOSMARY | Dispensing Physician Assistant | Physician Assistant | 9110753 | 1/5/2021 |
LILES, CHELSEA | Dispensing Physician Assistant | Physician Assistant | 9112179 | 7/14/2022 |
LORGE, KATHLYN | Dispensing Physician Assistant | Physician Assistant | 9117889 | 11/7/2023 |
LORGE, KATHLYN | Prescribing Physician Assistant | Physician Assistant | 9117889 | 11/1/2023 |
LOUTFI, LAURA | Dispensing Physician Assistant | Physician Assistant | 9113977 | 7/15/2022 |
MAIDWELL, SANDRA C | Dispensing Physician Assistant | Physician Assistant | 9105482 | 10/2/2017 |
MCCABE, JANET FAITH | Dispensing Physician Assistant | Physician Assistant | 9104602 | 10/2/2017 |
MCCOLGAN, KRISTINA DANIELA | Dispensing Physician Assistant | Physician Assistant | 9111580 | 1/5/2021 |
MCCOLGAN, KRISTINA DANIELA | Prescribing Physician Assistant | Physician Assistant | 9111580 | 11/24/2020 |
MEHTA, KRUNALI | Dispensing Physician Assistant | Physician Assistant | 9117527 | 8/28/2023 |
MEHTA, KRUNALI | Prescribing Physician Assistant | Physician Assistant | 9117527 | 8/28/2023 |
MERRITT, RAYMOND LEE | Subordinate | Osteopathic Physician | 11538 | 8/13/2020 |
MESRI, JANET | Subordinate | Medical Doctor | 84001 | 8/10/2020 |
MILLER, DONALD | Dispensing Physician Assistant | Physician Assistant | 9114520 | 7/15/2022 |
MOGLIA, TIFFANY MARIE | Dispensing Physician Assistant | Physician Assistant | 9114444 | 7/15/2022 |
MOLINA-MADRID, MELISSA | Dispensing Physician Assistant | Physician Assistant | 9112588 | 1/5/2022 |
MORALES ZAMBRANA, CAMILLE S | Dispensing Physician Assistant | Physician Assistant | 9117174 | 5/9/2023 |
MORALES ZAMBRANA, CAMILLE S | Prescribing Physician Assistant | Physician Assistant | 9117174 | 5/9/2023 |
MORRIS, SCOTT KIMBERLY | Dispensing Physician Assistant | Physician Assistant | 2885 | 10/2/2017 |
NAVAS, STEPHANIE | Dispensing Physician Assistant | Physician Assistant | 9117678 | 10/21/2024 |
NEWSTEAD, SUZANNE ELIZABETH | Dispensing Physician Assistant | Osteopathic Physician | 11216 | 8/19/2020 |
NIEDERMEYER, JULES ADRIEN | Dispensing Physician Assistant | Physician Assistant | 9119336 | 12/2/2024 |
NIEDERMEYER, JULES ADRIEN | Prescribing Physician Assistant | Physician Assistant | 9119336 | 12/2/2024 |
ORTIZ, ELENA MARIA | Dispensing Physician Assistant | Physician Assistant | 9109467 | 10/11/2018 |
ORTIZ, MARIA JIMENA | Dispensing Physician Assistant | Physician Assistant | 9109813 | 8/17/2021 |
OSORIO, SHANNON M | Prescribing Physician Assistant | Physician Assistant | 9105733 | 8/6/2024 |
PANDOLFE, ROBERT | Dispensing Physician Assistant | Physician Assistant | 9109070 | 1/26/2021 |
PATEL, NEHA D | Dispensing Physician Assistant | Physician Assistant | 9109904 | 2/8/2018 |
PATEL-MILLS, HANNA | Dispensing Physician Assistant | Physician Assistant | 9110040 | 8/6/2020 |
PATRICK, JAMES E | Dispensing Physician Assistant | Physician Assistant | 9101332 | 8/17/2020 |
PEREIRA, FABIO DAVID | Dispensing Physician Assistant | Physician Assistant | 9109957 | 8/3/2021 |
PETERSON, TIMOTHY SCOTT | Dispensing Physician Assistant | Physician Assistant | 9119403 | 10/21/2024 |
PETERSON, TIMOTHY SCOTT | Prescribing Physician Assistant | Physician Assistant | 9119403 | 10/21/2024 |
RAJA, JAVALIKA GADHIA | Dispensing Physician Assistant | Physician Assistant | 9102156 | 1/20/2021 |
REYES, CHRISTOPHER | Dispensing Physician Assistant | Physician Assistant | 9112729 | 8/10/2021 |
REYNOLDS, DREW THOMAS | Dispensing Physician Assistant | Physician Assistant | 9111550 | 3/12/2024 |
REYNOLDS, DREW THOMAS | Prescribing Physician Assistant | Physician Assistant | 9111550 | 3/12/2024 |
ROBERTS, ZACHARY KING | Dispensing Physician Assistant | Physician Assistant | 9118281 | 2/26/2024 |
ROBERTS, ZACHARY KING | Prescribing Physician Assistant | Physician Assistant | 9118281 | 2/26/2024 |
RODRIGUEZ, GILBERTO | Dispensing Physician Assistant | Physician Assistant | 9108449 | 8/6/2021 |
RODSKI, SYDNEY NICOLE | Dispensing Physician Assistant | Physician Assistant | 9112547 | 1/31/2024 |
RODSKI, SYDNEY NICOLE | Prescribing Physician Assistant | Physician Assistant | 9112547 | 1/31/2024 |
ROMERO, ASAHEL | Prescribing Physician Assistant | Physician Assistant | 9113763 | 8/26/2021 |
RUANO, WENDY NICOLE | Dispensing Physician Assistant | Physician Assistant | 9117940 | 10/5/2023 |
RUNK, ROBERT DOUGLAS | Dispensing Physician Assistant | Physician Assistant | 3599 | 1/29/2021 |
SALAS, JENNIFER LYNNE | Dispensing Physician Assistant | Physician Assistant | 9104807 | 8/31/2020 |
SALMON, SOPHIA SIMONA | Dispensing Physician Assistant | Medical Doctor | 85896 | 9/25/2021 |
SAMAAN, DINA | Dispensing Physician Assistant | Physician Assistant | 9118921 | 8/26/2024 |
SAMAAN, DINA | Prescribing Physician Assistant | Physician Assistant | 9118921 | 8/26/2024 |
SANCHEZ, LEVY | Prescribing Physician Assistant | Physician Assistant | 9100912 | 1/30/2020 |
SANTIAGO, LOUIS G | Dispensing Physician Assistant | Physician Assistant | 9113880 | 9/1/2021 |
SCOTT, RANDALL EUGENE | Dispensing Physician Assistant | Physician Assistant | 9103913 | 1/28/2021 |
SENECAL, DOUGLAS LLOYD | Dispensing Physician Assistant | Physician Assistant | 9103241 | 12/9/2020 |
SEREDA, ROMAN YURYEVICH | Dispensing Physician Assistant | Physician Assistant | 9108442 | 8/20/2020 |
SIGNORE, STEPHEN JOSEPH MR | Dispensing Physician Assistant | Physician Assistant | 2754 | 10/9/2024 |
SIMPSON, ALISON L | Dispensing Physician Assistant | Medical Doctor | 74810 | 9/22/2020 |
SINGER, KYLIE ELIZABETH | Dispensing Physician Assistant | Physician Assistant | 9117029 | 3/20/2023 |
SINGER, KYLIE ELIZABETH | Prescribing Physician Assistant | Physician Assistant | 9117029 | 3/20/2023 |
SKIDMORE, JUSTIN STUART | Dispensing Physician Assistant | Physician Assistant | 9110082 | 8/15/2020 |
SKINNER, KEIANA LATREECE | Dispensing Physician Assistant | Physician Assistant | 9113823 | 8/9/2021 |
SLACK, KENNETH VERNON | Dispensing Physician Assistant | Medical Doctor | 119973 | 12/5/2020 |
SLACK, KENNETH VERNON | Subordinate | Medical Doctor | 119973 | 12/5/2020 |
SMITH, AARON | Dispensing Physician Assistant | Physician Assistant | 9111781 | 7/17/2022 |
SMITH, MICHAEL | Dispensing Physician Assistant | Physician Assistant | 9110665 | 7/19/2022 |
SMITH, REBECCA ANN | Dispensing Physician Assistant | Physician Assistant | 9107542 | 8/26/2021 |
SMOLTER, PATRICIA ELIZABETH | Dispensing Physician Assistant | Osteopathic Physician | 12707 | 8/10/2020 |
SNIDER, EDGAR HOWARD III | Dispensing Physician Assistant | Physician Assistant | 2867 | 12/5/2020 |
SNYDER, CARLY MARIE | Subordinate | Osteopathic Physician | 11593 | 1/27/2021 |
SORIANO, LUIS D'MONTIQUE | Dispensing Physician Assistant | Physician Assistant | 9105637 | 8/11/2020 |
SPEED, J CHARLES | Dispensing Physician Assistant | Physician Assistant | 9114685 | 9/1/2021 |
SPELSBERG, SARAH | Dispensing Physician Assistant | Physician Assistant | 9104066 | 1/26/2021 |
STAPLETON, SANDRA KAY | Dispensing Physician Assistant | Physician Assistant | 9101188 | 1/27/2021 |
STEARMAN, MARC | Dispensing Physician Assistant | Physician Assistant | 9110806 | 8/3/2021 |
STEVENS, KELLY K | Dispensing Physician Assistant | Physician Assistant | 3513 | 10/2/2017 |
STONE, ERICA LYN | Dispensing Physician Assistant | Physician Assistant | 9109992 | 8/17/2020 |
SWANSON, KELLI ANN | Dispensing Physician Assistant | Physician Assistant | 9116483 | 12/5/2022 |
SWANSON, KELLI ANN | Prescribing Physician Assistant | Physician Assistant | 9116483 | 12/5/2022 |
TAFT, JESSICA ROBINSON | Dispensing Physician Assistant | Physician Assistant | 9109337 | 2/8/2018 |
THERNELUS, MARC AMOS | Dispensing Physician Assistant | Physician Assistant | 9113565 | 1/17/2023 |
THOMAS, ROBERT LOUIS | Dispensing Physician Assistant | Osteopathic Physician | 8592 | 8/18/2020 |
THOMAS, ROBERT LOUIS | Subordinate | Osteopathic Physician | 8592 | 8/20/2020 |
THOMAS, SHIRLETTE DEBRA | Dispensing Physician Assistant | Physician Assistant | 9105819 | 8/10/2020 |
THOMPSON, MATTHEW DAVID | Dispensing Physician Assistant | Physician Assistant | 9111405 | 11/13/2022 |
TIGHT, DOUGLAS F | Dispensing Physician Assistant | Physician Assistant | 3407 | 8/5/2020 |
TRAN, BRIAN HOANG | Subordinate | Osteopathic Physician | 10404 | 1/5/2021 |
TRAVERS, AMARA ELIZABETH | Dispensing Physician Assistant | Physician Assistant | 9108431 | 4/25/2018 |
TRIPI, KATHERINE DELPHINE | Dispensing Physician Assistant | Physician Assistant | 9107339 | 7/25/2022 |
TULSIAK, DAVID F | Subordinate | Medical Doctor | 44589 | 8/19/2020 |
VALENTE, VINCENT GERARD DO | Subordinate | Osteopathic Physician | 10118 | 1/5/2021 |
WELLS, YASMIN | Dispensing Physician Assistant | Physician Assistant | 9119225 | 9/23/2024 |
WELLS, YASMIN | Prescribing Physician Assistant | Physician Assistant | 9119225 | 9/23/2024 |
WHEELER, SCOTT A | Dispensing Physician Assistant | Physician Assistant | 9105729 | 7/18/2022 |
WIDNER, LAUREN BROOKE | Dispensing Physician Assistant | Physician Assistant | 9105907 | 8/1/2021 |
WIEDMAN, JULIE CLAIRE | Dispensing Physician Assistant | Physician Assistant | 9107571 | 4/25/2018 |
WILLBUR, TAYLOR MARIE | Dispensing Physician Assistant | Physician Assistant | 9114038 | 7/18/2022 |
WILSON, KADINE TASHIKA | Prescribing Physician Assistant | Physician Assistant | 9116408 | 12/14/2022 |
WOHLTMAN, RENEE | Dispensing Physician Assistant | Physician Assistant | 9111408 | 8/5/2020 |
WOODS VIZCAINO, RADHARANI | Dispensing Physician Assistant | Physician Assistant | 9109881 | 1/31/2021 |
WOZNICKI, MICHELLE M | Dispensing Physician Assistant | Physician Assistant | 9115423 | 4/13/2023 |
WOZNICKI, MICHELLE M | Prescribing Physician Assistant | Physician Assistant | 9115423 | 4/13/2023 |
ZOINO, ALBERICO | Subordinate | Osteopathic Physician | 7522 | 8/13/2020 |
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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.
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