License Verification

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JESSIE VANDERVEER MILLER

License Number: PA9105829

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9105829
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/06/2010
Address of Record
2501 n Orange avenue
Suite 446
ORLANDO, FL 32804
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1245 W Fairbanks Avenue Suite 305
WINTER PARK, FL 32789
Name Relationship Profession License Effective Date
DANIELS, BRIAN ANTHONY Supervising Prescribing Practitioner Medical Doctor 138351 02/13/2019
FOLEY DAVELAAR, CASSIDY MACDOWELL Supervising Prescribing Practitioner Osteopathic Physician 15079 05/10/2018
GIBSON, SARAH REYNOLDS MD Supervising Prescribing Practitioner Medical Doctor 108104 05/10/2018
ILGENFRITZ, RYAN MATTHEW Supervising Prescribing Practitioner Medical Doctor 119700 05/10/2018
LOVEJOY, JOHN FLETCHER III Supervising Prescribing Practitioner Medical Doctor 119262 05/10/2018
MALONE, JASON BRADLEY Supervising Prescribing Practitioner Osteopathic Physician 14628 05/10/2018
ROBINSON, LAWRENCE GEORGE Supervising Prescribing Practitioner Medical Doctor 57471 05/10/2018
SAWH-MARTINEZ, RAJENDRA FERNANDO Supervising Prescribing Practitioner Medical Doctor 136100 02/13/2019
STALL, ALEC CHRISTIAN Supervising Prescribing Practitioner Medical Doctor 136094 02/13/2019
STANTON, ROBERT PAGE Supervising Prescribing Practitioner Medical Doctor 34503 05/10/2018
STINSON, ZACHARY SULLIVAN Supervising Prescribing Practitioner Medical Doctor 134381 05/10/2018
WHITE, BRIAN DONALD Supervising Prescribing Practitioner Medical Doctor 113490 02/13/2019

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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 12/23/2024



* 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.