License Verification

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IAN MATTHEW RUSSINOFF

License Number: ME91596

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME91596
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
09/23/2004
Address of Record
1411 N Flagler Dr.
Suite 6200
WEST PALM BCH, FL 33401
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
324 Royal Palm Way suite 100
PALM BEACH, FL 33480
Address
4551 Weston Road
WESTON, FL 33331
Address
10105 Cleary Blvd.
PLANTATION, FL 33324
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
APPEL, RACHEL Dispensing Physician Assistant Physician Assistant 9102351 4/4/2022
APPEL, RACHEL Prescribing Physician Assistant Physician Assistant 9102351 1/23/2017
DESROSIERS, COURTNEY LINDSAY Prescribing Physician Assistant Physician Assistant 9114623 1/10/2023
FISHER, SHAWN DANIELLE Prescribing Physician Assistant Physician Assistant 9113659 10/22/2021
GREEN, ASHLEY Prescribing Physician Assistant Physician Assistant 9117474 6/14/2023
HANNA, TEDDY JOSEPH Prescribing Physician Assistant Physician Assistant 9100964 3/30/2017
OBERMAN, JASMINE ANN Prescribing Physician Assistant Physician Assistant 9106925 2/22/2017
STARLINK AVIATION INC. Service Provider EMS Service Provider Air 7012 8/3/2022

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.