License Verification

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KATHERINE ANN WILSON

License Number: PA9104552

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9104552
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/31/2008
Address of Record
30 Ardisia Lane
Baptist Primary Care
Ardisia Lane location
SAINT JOHNS, FL 32259
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
JAMES, ROBERT ARTHUR Supervising Prescribing Practitioner Medical Doctor 44494 06/17/2016
LEVINE, DONALD JACOCKS MD Supervising Prescribing Practitioner Medical Doctor 69268 06/17/2016
LIM, ALAN SARUCA Supervising Prescribing Practitioner Medical Doctor 65568 06/17/2016
MCQUADE, JOSEPH GERARD Supervising Prescribing Practitioner Medical Doctor 119663 06/17/2016
PERERA, AMILA KUSULANI Supervising Prescribing Practitioner Medical Doctor 72138 06/17/2016
SHARMA, SONIA Supervising Prescribing Practitioner Medical Doctor 103974 06/17/2016
WOLFSON, BUD LOUIS Supervising Prescribing Practitioner Medical Doctor 49196 05/06/2016

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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.