License Number: ME61912

Data As Of 4/12/2024

Profession Medical Doctor
License ME61912
License Status REVOKED/
License Expiration Date 1/31/2015
License Original Issue Date 04/15/1992
Address of Record If further information is needed, please contact the Department of Health at (850) 488-0595.
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) Yes
Discipline on File Yes
Public Complaint Yes

The information on this page is a secure, primary source for license verification provided by the Florida Department of Health, Division of Medical Quality Assurance. This website is maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.