License Verification

Printer Friendly Version

MICHAEL JAN DOLISTER

License Number: ME66315

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME66315
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
05/31/1994
Address of Record
1000 West Moreno Street
PENSACOLA, FL 32501
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

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

Name Relationship Profession License Effective Date
ANDOLA, ISRAEL Prescribing Physician Assistant Physician Assistant 9114152 12/18/2023
CHURCH, JEREMY JASON Prescribing Physician Assistant Physician Assistant 9101355 6/30/2016
HAMRICK, MATTHEW THOMAS Prescribing Physician Assistant Physician Assistant 9116299 10/15/2022
HICKS, MASON HAROLD Prescribing Physician Assistant Physician Assistant 9111053 5/9/2024
KEETON, PATRICK RAY Prescribing Physician Assistant Physician Assistant 9107121 6/30/2016
LILJEGREN, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9117102 12/18/2023
LOCKLEAR, ALEXANDRA MACKINLAY Prescribing Physician Assistant Physician Assistant 9103837 6/30/2016
MILLER, KIMBERLY Prescribing Physician Assistant Physician Assistant 9109847 12/18/2023
SMITHEY, CRYSTAL DIANNA Prescribing Physician Assistant Physician Assistant 9104863 9/28/2023
WELLS, ERIN LYN Prescribing Physician Assistant Physician Assistant 9113347 12/18/2023
WHITE, MORGAN FRANCELLA Prescribing Physician Assistant Physician Assistant 9107535 12/18/2023

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

Name Relationship Profession License Effective Date

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



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.