License Verification

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KAITLYN REGINA MUSTO

License Number: PA9106066

Data As Of 12/24/2024

Profession
Physician Assistant
License
PA9106066
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/06/2011
Address of Record
4500 SAN PABLO ROAD
MAYO CLINIC
JACKSONVILLE, FL 32224
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
BURNS, JUSTIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 105200 08/20/2024
CLENDENON, JACOB NATHAN Supervising Prescribing Practitioner Medical Doctor 145251 08/20/2024
CROOME, KRISTOPHER PATRICK Supervising Prescribing Practitioner Medical Doctor 119329 08/20/2024
FREY, GREGORY TERRELL Supervising Prescribing Practitioner Medical Doctor 110065 08/15/2022
HARNOIS, DENISE MARIE Supervising Prescribing Practitioner Osteopathic Physician 7819 01/21/2021
HUYNH, THIEN Supervising Prescribing Practitioner Medical Doctor 142072 08/09/2022
MAO, SHENNEN ASHLEY Supervising Prescribing Practitioner Medical Doctor 137722 08/20/2024
PAZ-FUMAGALLI, RICARDO Supervising Prescribing Practitioner Medical Doctor 76972 08/15/2022
PERRY, DANA KAY Supervising Prescribing Practitioner Medical Doctor 104325 08/20/2024
TANER, CEMAL BURCIN Supervising Prescribing Practitioner Medical Doctor 94943 07/03/2024

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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 12/24/2024



* 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.