Medical Quality Assurance (MQA) Services

License Verification Search

Link to Practitioner Profile

License Verification
Data As Of 10/9/2015

LICENSE NUMBER: ME55074 Printer Friendly Version 

'** List all Enforcement Alerts found for this licensee **
License/Activity Status
NULL AND VOID/Click here for more information
License Expiration Date License Original Issue Date
1/31/2013 02/16/1989
Discipline on File Public ComplaintClick here for more information
YES Link To Discipline NO
Address of Record
If further information is needed, please contact the Department of Health at (850) 488-0595.
Enforcement Alert
6/14/2012 11:39:11 AM
Emergency Suspension Order filed 6/14/12.

The information on this page is a secure, primary source for license verification provided by The Florida Department of Health, Division of Medical Quality Assurance. This website is maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.