License Verification

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COURTNEY RAE CRISWELL

License Number: PA9111862

Data As Of 12/4/2024

Profession
Physician Assistant
License
PA9111862
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/18/2018
Address of Record
5191 First Coast Tech Pkwy
3rd Floor
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
CAREY, JOHN EDMUND Supervising Prescribing Practitioner Medical Doctor 80791 03/16/2020
HANES, MICHAEL CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 121093 03/16/2020
MANN, JUSTIN DAVID MD Supervising Prescribing Practitioner Medical Doctor 128030 03/16/2020
REDDY, SATHAVARAM ARAVIND Supervising Prescribing Practitioner Medical Doctor 141290 03/16/2020
ROBERTS, CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 69788 03/16/2020
VINCENTY, CLAUDIO E Supervising Prescribing Practitioner Medical Doctor 44593 03/16/2020

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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 12/4/2024



* 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.


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