License Verification
ELIZABETH CORRINE BAGLEY WONPAT
License Number: ME101685
Data As Of 12/2/2024
No secondary locations found.
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BROCETA MARTINEZ, ABELARDO | Supervising Prescribing Practitioner | Medical Doctor | 158493 | 06/06/2024 |
CRUZ, ALEXANDRA | Supervising Prescribing Practitioner | Osteopathic Physician | 19813 | 05/14/2024 |
DRURY, TYLER BARRETT | Supervising Prescribing Practitioner | Osteopathic Physician | 20206 | 05/13/2024 |
JIMENEZ, ANGELICA ROCIO MD | Supervising Prescribing Practitioner | Medical Doctor | 95805 | 04/02/2024 |
LOPEZ, CARLOS ADRIAN | Supervising Prescribing Practitioner | Medical Doctor | 127222 | 06/05/2024 |
VENUTI, NICHOLAS STEPHEN | Supervising Prescribing Practitioner | Medical Doctor | 161734 | 05/28/2024 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BURDEN, CHARITY | Prescribing Physician Assistant | Physician Assistant | 9117433 | 5/22/2024 |
CANTOR, LUIS | Prescribing Physician Assistant | Physician Assistant | 9113587 | 4/3/2024 |
CHEN, AMY | Prescribing Physician Assistant | Physician Assistant | 9115760 | 3/11/2024 |
DIENELL, KATIE | Prescribing Physician Assistant | Physician Assistant | 9117206 | 1/17/2024 |
KHAN, FARIHAH | Prescribing Physician Assistant | Physician Assistant | 9111876 | 4/22/2024 |
KIMBLE, TIFFANY ANNE | Prescribing Physician Assistant | Physician Assistant | 9105875 | 1/17/2024 |
KORNETTI, BRIANNE NICOLE | Prescribing Physician Assistant | Physician Assistant | 9118683 | 5/22/2024 |
PEREZ, CHRISTY ANNE | Prescribing Physician Assistant | Physician Assistant | 9112855 | 9/26/2024 |
PERICLES, ADALYNE | Prescribing Physician Assistant | Physician Assistant | 9107848 | 5/30/2024 |
PUTMAN, LESLIE SUE | Prescribing Physician Assistant | Physician Assistant | 3042 | 1/17/2024 |
RAZZAQ, MARIA | Prescribing Physician Assistant | Physician Assistant | 9111979 | 1/17/2024 |
SHAFII, LATIFEH | Prescribing Physician Assistant | Physician Assistant | 9112064 | 4/3/2024 |
STEWART, MONIQUE ELIZABETH | Prescribing Physician Assistant | Physician Assistant | 9110267 | 7/17/2024 |
UMANSKY, BETH LAUREN | Prescribing Physician Assistant | Physician Assistant | 9107407 | 1/17/2024 |
VAN FOSSEN, JAMES WILLIAM | Prescribing Physician Assistant | Physician Assistant | 9118780 | 6/6/2024 |
VIGROUX, BETHANY NICOLE | Prescribing Physician Assistant | Physician Assistant | 9107323 | 4/3/2024 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 12/2/2024
* 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.