License Verification
NICOLE ELIZABETH WALLACE
License Number: PA9103316
Data As Of 12/22/2024
No secondary locations found.
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ABRAHAMSEN, NADIA | Supervising Prescribing Practitioner | Medical Doctor | 108847 | 03/02/2018 |
ANCHETA, JOEY SALDANA MD | Supervising Prescribing Practitioner | Medical Doctor | 72598 | 07/13/2017 |
BRENNER, ANNETTE MAGNANT | Supervising Prescribing Practitioner | Medical Doctor | 70818 | 02/06/2020 |
BROWN, RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 132286 | 09/14/2017 |
CAUSEY, ALAN LANE | Supervising Prescribing Practitioner | Medical Doctor | 70284 | 12/28/2015 |
COVITZ, SHANNON MIXON | Supervising Prescribing Practitioner | Osteopathic Physician | 11652 | 02/06/2020 |
DUBEY, JESSE VINCENT | Supervising Prescribing Practitioner | Osteopathic Physician | 13099 | 09/01/2018 |
GLUECK, JESSE | Supervising Prescribing Practitioner | Medical Doctor | 136392 | 08/04/2020 |
JOHN, TESHY VARUGHESE | Supervising Prescribing Practitioner | Medical Doctor | 125364 | 12/01/2018 |
LALANI, FARAH NAUSHIR | Supervising Prescribing Practitioner | Osteopathic Physician | 10814 | 12/28/2015 |
LONGO, JENNIFER ANN | Supervising Prescribing Practitioner | Medical Doctor | 113332 | 11/05/2019 |
MEMON, SUMERA HAROON | Supervising Prescribing Practitioner | Osteopathic Physician | 11668 | 08/20/2018 |
MISDARY, JOHN SARATIAL MD | Supervising Prescribing Practitioner | Medical Doctor | 111957 | 03/28/2018 |
PALIGA, ANDREW | Supervising Prescribing Practitioner | Medical Doctor | 111562 | 05/06/2019 |
PATEL, TEJAS | Supervising Prescribing Practitioner | Osteopathic Physician | 13790 | 05/06/2019 |
PAYOR, AUSTIN DANIEL | Supervising Prescribing Practitioner | Osteopathic Physician | 10925 | 04/14/2020 |
REINHARDT, NEIL CHRISTOPHER | Supervising Prescribing Practitioner | Medical Doctor | 69496 | 11/05/2019 |
SPENCER, ANDREW JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 122767 | 05/06/2019 |
SUEN, ANDREA CATHERINE | Supervising Prescribing Practitioner | Medical Doctor | 116964 | 01/11/2019 |
TICKETT, SHELLEY SMITH | Supervising Prescribing Practitioner | Medical Doctor | 90313 | 03/02/2018 |
VYTYKAC, ADAM | Supervising Prescribing Practitioner | Medical Doctor | 115497 | 08/20/2018 |
WISER, ROBERT K | Supervising Prescribing Practitioner | Medical Doctor | 139864 | 02/06/2020 |
ZACHARIAH, ANISH BABU M D | Supervising Prescribing Practitioner | Medical Doctor | 101413 | 11/05/2019 |
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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 12/22/2024
* 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.