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JULIANNE LALLY

License Number: PA9110527

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9110527
License Status
DELINQUENT/
Qualifications
Prescribing
License Expiration Date
1/31/2024
License Original Issue Date
08/02/2017
Address of Record
810 Royal Parkway
NASHVILLE, TN 37214
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
ALONSO, LEONARDO LAZARO Supervising Prescribing Practitioner Osteopathic Physician 6584 11/15/2017
AMIN, SHILPA KIRIT Supervising Prescribing Practitioner Medical Doctor 118558 11/15/2017
BRACE, RONALD JOHN Supervising Prescribing Practitioner Medical Doctor 120282 11/15/2017
CHAPMAN, JENNIFER COLES Supervising Prescribing Practitioner Medical Doctor 125751 11/15/2017
CURRIE, MICHAEL JOHN Supervising Prescribing Practitioner Osteopathic Physician 14738 11/15/2017
FORSTER, JOHN GEORGE III Supervising Prescribing Practitioner Medical Doctor 69993 11/15/2017
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 11/15/2017
HUMPHRIES, JERRY FRANKLIN JR Supervising Prescribing Practitioner Medical Doctor 112733 11/15/2017
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 11/15/2017
MATHAI, ALEX Supervising Prescribing Practitioner Medical Doctor 122229 11/15/2017
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 11/15/2017
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 11/15/2017
PAPAVASILIOU, JOHN JOSEPH Supervising Prescribing Practitioner Medical Doctor 66371 11/15/2017
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 11/15/2017
STERN, NEIL DAVID Supervising Prescribing Practitioner Osteopathic Physician 8723 11/15/2017
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 11/15/2017
TRACY, MICHAEL CHARLES Supervising Prescribing Practitioner Medical Doctor 73346 11/15/2017
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 11/15/2017
WINNINGHAM, DAVID JASON Supervising Prescribing Practitioner Osteopathic Physician 12586 11/15/2017
ZAGER, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 91062 11/15/2017
ZEATON, KARIN ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 10311 11/15/2017

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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 12/2/2024



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** 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.


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