License Verification

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DANIEL JAMES WACKERLY

License Number: PS35907

Data As Of 10/29/2026

Profession
Pharmacist
License
PS35907
License Status
Clear/Active
Qualifications
Certified To Administer Immunizations
Test and Treat Certification
Collaborative Practice Certification
License Expiration Date
9/30/2027
License Original Issue Date
07/11/2001
Address of Record
960 BACKSTAGE LANE
LAKE BUENA VISTA, FL 32830
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BUTTS, JESSICA FAVERO CPC Supervising Physician Medical Doctor 171536 10/28/2026
DAVIS II, CEDRIC EMDEN TTC Supervising Physician Medical Doctor 108693 08/08/2022
DINARDO, ANTHONY CHRISTOPHER CPC Supervising Physician Osteopathic Physician 11422 10/28/2026
DOMINGUEZ, MANUEL CPC Supervising Physician Medical Doctor 165454 10/28/2026
HALL, MICHELLE LYNNETTE CPC Supervising Physician Medical Doctor 136536 10/28/2026
HASSAN, ASHRAF MOHAMED CPC Supervising Physician Medical Doctor 118686 10/28/2026
MAGNESS, DAVID JEREMIAH CPC Supervising Physician Osteopathic Physician 11617 09/30/2026
MARTINEZ ROJAS, MARIA VIRGINIA CPC Supervising Physician Medical Doctor 162017 10/28/2026
MEDRANO, CHRISTINA MARIE CPC Supervising Physician Medical Doctor 123933 10/28/2026
ONATE, BORIS FABRICIO CPC Supervising Physician Medical Doctor 97051 10/28/2026
PADGETT, LOUIS IVEY CPC Supervising Physician Osteopathic Physician 14113 10/28/2026
SEDOR, JENNIFER ALLISON CPC Supervising Physician Medical Doctor 128525 10/28/2026
SHEPARD, AMBER YVETTE CPC Supervising Physician Medical Doctor 141025 10/28/2026
SIMPLICIANO, JENNIFER CPC Supervising Physician Medical Doctor 163827 10/28/2026
SUGUITAN, DEMETRIO BANAGLORIOSO JR CPC Supervising Physician Medical Doctor 108481 10/28/2026

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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 10/29/2026



* 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.