License Verification

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ANGELA MARIE MERCER

License Number: PA9103258

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9103258
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/22/2005
Address of Record
2505 Harrison Avenue
DERMATOLOGY SPECIALISTS FL
PANAMA CITY, FL 32405
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
212 Hwy 98 Ste B Dermatology Specialists
PORT SAINT JOE, FL 32456
Name Relationship Profession License Effective Date
LEWIS, HALEY MARTINEZ Supervising Prescribing Practitioner Osteopathic Physician 17761 09/13/2021
MORGAN, MICHAEL BRANDON Supervising Prescribing Practitioner Medical Doctor 59018 08/01/2023
WARD, JON RYAN Supervising Prescribing Practitioner Medical Doctor 95816 03/15/2018

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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 12/23/2024



* 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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