License Verification

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ELIZABETH ANNE SPEED DIERSING

License Number: PA9104503

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9104503
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/24/2008
Address of Record
655 WEST 8TH ST.
SHANDS JACKSONVILLE
UNIVERSITY OF FLORIDA HEALTH
JACKSONVILLE, FL 32209
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
ALBUS, MICHAEL LAWRENCE Supervising Prescribing Practitioner Medical Doctor 94057 12/15/2020
BACHISTA, KERRY MARK MD Supervising Prescribing Practitioner Medical Doctor 101449 12/15/2020
BEARDSLEY, THOMAS Supervising Prescribing Practitioner Medical Doctor 139243 08/29/2019
BLACK, LAUREN PAGE Supervising Prescribing Practitioner Medical Doctor 136814 12/15/2020
CARO, DAVID ALAN Supervising Prescribing Practitioner Medical Doctor 73369 12/15/2020
CLARE, JONATHAN Supervising Prescribing Practitioner Medical Doctor 145326 06/22/2020
DEVOS, ELIZABETH LOUISE Supervising Prescribing Practitioner Medical Doctor 96476 12/15/2020
DISHONG, WILLIAM P Supervising Prescribing Practitioner Medical Doctor 116690 12/15/2020
DURAN-GEHRING, PETRA E Supervising Prescribing Practitioner Medical Doctor 91161 12/15/2020
FLORES-GONZALEZ, BARBARA NAHIR Supervising Prescribing Practitioner Medical Doctor 144375 04/13/2021
FONT, RUBEN JR Supervising Prescribing Practitioner Medical Doctor 112637 12/15/2020
FONTANE, EMILY Supervising Prescribing Practitioner Medical Doctor 99702 12/15/2020
FOX, HANNAH THOMASON Supervising Prescribing Practitioner Medical Doctor 135448 01/30/2020
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 09/09/2019
GALLANTER, TISHA MD Supervising Prescribing Practitioner Medical Doctor 79093 12/15/2020
GHALI, SAMA Supervising Prescribing Practitioner Medical Doctor 147065 11/13/2020
GODWIN, STEVEN ANDREWS Supervising Prescribing Practitioner Medical Doctor 74181 12/15/2020
GRAY-EUROM, KELLY RAE M D Supervising Prescribing Practitioner Medical Doctor 65858 12/01/2020
GUIRGIS, FAHEEM WAGID Supervising Prescribing Practitioner Medical Doctor 106205 12/15/2020
HERNANDEZ, MANUEL Supervising Prescribing Practitioner Medical Doctor 87715 12/15/2020
HESTER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 141445 08/30/2019
JAVED, ADNAN Supervising Prescribing Practitioner Medical Doctor 139985 08/05/2021
KHADPE, JAY Supervising Prescribing Practitioner Medical Doctor 126242 12/15/2020
KIEL, JOHN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 15506 12/15/2020
MARSHALL, JOHN BLAINE Supervising Prescribing Practitioner Medical Doctor 145165 12/15/2020
MCINTOSH, MARK STEPHEN Supervising Prescribing Practitioner Medical Doctor 89160 12/15/2020
MORRISSEY, THOMAS KERRY Supervising Prescribing Practitioner Medical Doctor 80734 12/15/2020
NORSE, ASHLEY BOOTH MD Supervising Prescribing Practitioner Medical Doctor 91210 12/15/2020
PARSONS-TUCKER, MELISSA ERIN Supervising Prescribing Practitioner Medical Doctor 122791 12/15/2020
PATEL, SHAMA Supervising Prescribing Practitioner Medical Doctor 145220 04/20/2020
PERRY, PAUL K Supervising Prescribing Practitioner Medical Doctor 40177 12/15/2020
RIOS, LUIS ERNESTO JR Supervising Prescribing Practitioner Medical Doctor 55184 12/15/2020
ROE, EDWARD JEDD III Supervising Prescribing Practitioner Medical Doctor 118390 12/15/2020
SCHMIDT, ANDREW CHRISTOPHER Supervising Prescribing Practitioner Osteopathic Physician 12712 12/15/2020
SHANNON, ANDREW WHITE Supervising Prescribing Practitioner Medical Doctor 125247 12/15/2020
SHANNON, MATTHEW B DR Supervising Prescribing Practitioner Medical Doctor 73606 12/15/2020
SHEIKH, SOPHIA SHAHINTAJ Supervising Prescribing Practitioner Medical Doctor 106126 12/15/2020
SMOWTON, JEFFREY STEPHEN MD Supervising Prescribing Practitioner Medical Doctor 51065 12/15/2020
STIMLER, JOHN ERNEST DO Supervising Prescribing Practitioner Osteopathic Physician 3639 12/15/2020
STORCH, IAN DAVID Supervising Prescribing Practitioner Medical Doctor 132808 12/15/2020
TOPP, STEPHEN SPENCER MD Supervising Prescribing Practitioner Medical Doctor 103463 12/15/2020
WEBB, LOUISE KENDALL MD Supervising Prescribing Practitioner Medical Doctor 95474 12/15/2020
WESTENBARGER, RICHARD LEE M D Supervising Prescribing Practitioner Medical Doctor 103918 12/15/2020
WIECZOREK, CHRISTINA STOCKWELL Supervising Prescribing Practitioner Medical Doctor 128070 12/15/2020
WILLIAMS, DEBORAH JEAN Supervising Prescribing Practitioner Medical Doctor 112260 12/15/2020
WYLIE, TODD WICK Supervising Prescribing Practitioner Medical Doctor 83747 12/15/2020

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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 12/22/2024



* 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.