License Verification

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CIARA BENNETT

License Number: PA9117721

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9117721
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/11/2023
Address of Record
1512 27th Street
NICEVILLE, FL 32578
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
BUMP, JARED MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 17380 01/18/2024
CLIFFORD, GAIL LISA Supervising Prescribing Practitioner Medical Doctor 165085 10/19/2023
DONCHEY, STEVEN SCOTT MD Supervising Prescribing Practitioner Medical Doctor 60265 01/18/2024
SANSBURY, LAURIE POWERS JR Supervising Prescribing Practitioner Osteopathic Physician 11621 01/22/2024
STICKLER, MICHAEL ALAN Supervising Prescribing Practitioner Medical Doctor 88808 11/17/2023
THIGPEN, R LEE MD Supervising Prescribing Practitioner Medical Doctor 46821 12/22/2023

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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



* 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.