License Verification

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ELIZABETH STOKLOSA

License Number: PA9104537

Data As Of 4/28/2025

Profession
Physician Assistant
License
PA9104537
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/28/2008
Address of Record
1671 N. Clyde Morris Blvd
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
501 S. Orange Street
NEW SMYRNA BEACH, FL 32168
Address
1165 Dunlawton Avenue Suite 101
PORT ORANGE, FL 32127
Address
21 Hospital Drive Suite 120
PALM COAST, FL 32164
Name Relationship Profession License Effective Date
DATTA, DEVIN KUMAR Supervising Prescribing Practitioner Medical Doctor 82856 03/29/2018
HYNES, RICHARD ALLAN MD Supervising Prescribing Practitioner Medical Doctor 62236 03/29/2018
MORRIS SOLIS, REGINA Supervising Prescribing Practitioner Medical Doctor 115021 03/29/2018
ZAIDI, SYED FARHAN HUSSAIN Supervising Prescribing Practitioner Medical Doctor 107480 03/29/2018

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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 4/28/2025



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** 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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