License Verification

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CORRIE ELISE ACKERMAN

License Number: PA9104453

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9104453
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/17/2007
Address of Record
646 VIRGINIA STREET
SUITE 600
MEASE MEDICAL ARTS II
DUNEDIN, FL 34698
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
BLEVINS, GRAIG EDWARD Supervising Prescribing Practitioner Osteopathic Physician 12408 11/17/2021
BRACAMONTE, PERCY R MD Supervising Prescribing Practitioner Medical Doctor 66952 12/01/2021
DE SOUZA, MELANIE ANN Supervising Prescribing Practitioner Medical Doctor 95515 11/30/2021
FRANCO, DANIEL JORGE Supervising Prescribing Practitioner Medical Doctor 82900 11/30/2021
HANLEY, RICHARD Supervising Prescribing Practitioner Medical Doctor 152230 11/30/2021
MALEY, ANDREW MICHAEL Supervising Prescribing Practitioner Medical Doctor 152130 01/25/2022
MARIN RUIZ, ALEJANDRA VIRGINIA Supervising Prescribing Practitioner Medical Doctor 128541 11/30/2021
MCDANIEL, AMY-JOY Supervising Prescribing Practitioner Medical Doctor 133368 08/01/2022
MEHURON, SARAH DAHLIN Supervising Prescribing Practitioner Medical Doctor 112054 03/07/2019

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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.


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