License Verification

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TEENA LUKOSE

License Number: PA9105784

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9105784
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
11/03/2010
Address of Record
11954 Boyette Road
RIVERVIEW, FL 33569
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8731 Gunn Hwy Fusion Medispa
ODESSA, FL 33556
Name Relationship Profession License Effective Date
DEUTSCHER, EDWARD MARTIN MD Supervising Prescribing Practitioner Medical Doctor 39550 02/15/2022
RAMIREZ, EDGAR DANIEL Supervising Prescribing Practitioner Medical Doctor 82491 07/25/2019
REDDY, SHANMUGAPRIYA Supervising Prescribing Practitioner Medical Doctor 96110 02/01/2023

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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.


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.