License Verification

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RICHARD BRIAN STALL JR

License Number: AA571

Data As Of 12/24/2024

Profession
Anesthesiologist Assistant
License
AA571
License Status
DELINQUENT/
License Expiration Date
1/31/2023
License Original Issue Date
05/20/2020
Address of Record
1175 W. Hibiscus Blvd
Suite 215
MELBOURNE, FL 32901
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 07/03/2020
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 07/03/2020
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 07/31/2020
LIDDY, MICHAEL MILES MD SUPERVISOR for AA Medical Doctor 110099 07/31/2020
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 07/31/2020
NOVA, HUGO A SUPERVISOR for AA Medical Doctor 111882 07/31/2020
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 07/31/2020
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 07/31/2020
ROGERS, JONATHAN MATTHEW SUPERVISOR for AA Medical Doctor 99871 07/31/2020
SCHRADER, KEITH JOSEPH MD SUPERVISOR for AA Medical Doctor 48296 07/31/2020
SHORE, JEFFREY MICHAEL SUPERVISOR for AA Medical Doctor 96836 07/31/2020

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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.