Medical Quality Assurance (MQA) Services

License Verification Search

Link to Practitioner Profile

License Verification
Data As Of 11/29/2015

LICENSE NUMBER: ME87813 Printer Friendly Version 

License/Activity Status Controlled Substance Prescriber
SUSPENDED/Click here for more information NOClick here for more information
License Expiration Date License Original Issue Date
1/31/2017 06/06/2003
Discipline on File Public ComplaintClick here for more information
YES Link To Discipline YES Link To Complaint
Address of Record

This practitioner has indicated that they are not currently practicing their profession. The practitioner may choose to begin practice at anytime provided that the license status is active. If the practitioner has resumed practice, the practitioner must update their practice location address. If you have any questions, please contact the department at 850-488-0595.

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.