License Verification

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COURTNEY COLLARD BEVILLE

License Number: PA9106655

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9106655
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/26/2012
Address of Record
1804 Oakley Seaver Dr
Suite A
CLERMONT, FL 34711
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2000 Fowler Grove Blvd Floor 3
WINTER GARDEN, FL 34787
Address
1919 E Hwy 50 Suite 201
CLERMONT, FL 34711
Name Relationship Profession License Effective Date
BOARDMAN, JASON ANDREW Supervising Prescribing Practitioner Medical Doctor 92559 09/01/2022
FLORIN, JORGE LUIS MD Supervising Prescribing Practitioner Medical Doctor 55271 09/01/2022
JOHNSON, CHRISTOPHER JAMES Supervising Prescribing Practitioner Osteopathic Physician 8746 09/01/2022
KIERAN, OWEN ROBERT Supervising Prescribing Practitioner Osteopathic Physician 14242 09/01/2022
SCHROEDER, ALEXANDER DANIEL Supervising Prescribing Practitioner Medical Doctor 142547 09/01/2022

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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.