License Verification

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BRIAN THOMAS BOGDANOWICZ

License Number: ME110715

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME110715
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/01/2011
Address of Record
140 PINNACLES DRIVE
PALM COAST, FL 32164
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
6 Office Park Dr.
PALM COAST, FL 32137
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BUTLER, DAVID WAYNE Dispensing Physician Assistant Physician Assistant 2669 4/27/2017
BUTLER, DAVID WAYNE Prescribing Physician Assistant Physician Assistant 2669 4/18/2017
SANTIAGO, RAYMOND Prescribing Physician Assistant Physician Assistant 3601 4/17/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



* 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.