License Verification

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KHANH QUANG NGUYEN

License Number: PA9102312

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9102312
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
01/14/2003
Address of Record
2331 Upper Park Rd
Orlando
ORLANDO, FL 32814
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
DIAZ, DENNIS FERNANDO Supervising Prescribing Practitioner Medical Doctor 107205 02/08/2018
MAYO, JAMES LEIGHTON Supervising Prescribing Practitioner Medical Doctor 128168 05/07/2024

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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.