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WILLIAM GERARD DIETRICH MD

License Number: ME55253

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME55253
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
06/12/1989
Address of Record
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
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

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
ALZATE, ALBERTO ISAAC Prescribing Physician Assistant Medical Doctor 81335 6/17/2020
BAUERNFEIND, ADAM MICHAEL Prescribing Physician Assistant Physician Assistant 9111280 9/25/2018
BRANNING, MEGHAN LEIGH Prescribing Physician Assistant Physician Assistant 9110029 9/20/2018
DODSON, JENNY MARIA Prescribing Physician Assistant Physician Assistant 9104645 3/25/2020
DODSON, PATRICK RUSSELL Prescribing Physician Assistant Physician Assistant 9110653 6/24/2019
DOWNEY, THOMAS JACKSON Prescribing Physician Assistant Physician Assistant 9109946 3/25/2020
EISMONT, TRACEY JEAN Prescribing Physician Assistant Physician Assistant 3182 5/10/2018
FENN, GREGORY ALAN Prescribing Physician Assistant Physician Assistant 9108811 9/24/2018
FINKLEA, TERI LYNN Prescribing Physician Assistant Medical Doctor 115273 8/27/2020
FINKLEA, TERI LYNN Subordinate Medical Doctor 115273 8/27/2020
GAVLIK, MORGAN PAIGE Prescribing Physician Assistant Physician Assistant 9110306 9/25/2018
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 6/24/2019
HINTON, JENNIFER MARIE Prescribing Physician Assistant Physician Assistant 9103166 10/15/2018
MCMONIGLE, TRACY LEE Prescribing Physician Assistant Physician Assistant 9105808 9/20/2018
SCHMIDT, ANNE CATHERINE Prescribing Physician Assistant Physician Assistant 9105181 9/25/2018
SHAH, MICHAEL Prescribing Physician Assistant Medical Doctor 127108 8/27/2020
SHI, KATLIN PALMER Prescribing Physician Assistant Physician Assistant 9109389 9/24/2018
SMITH, CAROLINE OLGA Prescribing Physician Assistant Physician Assistant 9106283 6/17/2020
WALKER, RACHEL Prescribing Physician Assistant Physician Assistant 9111179 9/20/2018
YEAZITZIS, CHANDLER LARSEN Prescribing Physician Assistant Physician Assistant 9109042 9/21/2018

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.