License Verification

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JAMES MATTHEW CRUNKILTON

License Number: AA542

Data As Of 12/24/2024

Profession
Anesthesiologist Assistant
License
AA542
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
09/20/2019
Address of Record
2627 W Eau Gallie Blvd Ste 101
MELBOURNE, FL 32935
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BUTLER, NATALIE VINCENT SUPERVISOR for AA Medical Doctor 112397 10/25/2020
BUTLER, NATALIE VINCENT Supervising ME Medical Doctor 112397 12/06/2019
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 12/06/2019
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 12/06/2019
LIDDY, MICHAEL MILES MD SUPERVISOR for AA Medical Doctor 110099 10/25/2020
LIDDY, MICHAEL MILES MD Supervising ME Medical Doctor 110099 12/06/2019
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 10/25/2020
MAYBURY, EDWARD ALLEN JR Supervising ME Medical Doctor 79595 12/06/2019
NOVA, HUGO A SUPERVISOR for AA Medical Doctor 111882 10/25/2020
NOVA, HUGO A Supervising ME Medical Doctor 111882 12/06/2019
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 12/06/2019
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 10/25/2020
PRESTON, WILLIAM LAURENCE MD Supervising ME Medical Doctor 68478 12/06/2019
ROGERS, JONATHAN MATTHEW SUPERVISOR for AA Medical Doctor 99871 10/25/2020
ROGERS, JONATHAN MATTHEW Supervising ME Medical Doctor 99871 12/06/2019
SCHRADER, KEITH JOSEPH MD SUPERVISOR for AA Medical Doctor 48296 10/25/2020
SCHRADER, KEITH JOSEPH MD Supervising ME Medical Doctor 48296 12/06/2019
SHORE, JEFFREY MICHAEL SUPERVISOR for AA Medical Doctor 96836 10/25/2020
SHORE, JEFFREY MICHAEL Supervising ME Medical Doctor 96836 12/06/2019

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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 12/24/2024



* 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.