License Verification

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MARC JOHN INGLESE

License Number: ME103501

Data As Of 6/2/2024

Profession
Medical Doctor
License
ME103501
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
01/07/2009
Address of Record
1704 RIGGINS ROAD
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
248 NE Hancock Ave
MADISON, FL 32340
Address
1702 Riggins Rd
TALLAHASSEE, FL 32308
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
GIVENS, SARA KAYE Prescribing Physician Assistant Physician Assistant 9113990 2/1/2021
NOWAK, MILLICENT KATHLEEN Prescribing Physician Assistant Physician Assistant 9113954 3/8/2023
ROBERTS, SARA HOLIFIELD Prescribing Physician Assistant Physician Assistant 9109275 6/19/2019
SANDER, JESSICA ANN Dispensing Physician Assistant Physician Assistant 9113150 6/2/2023
ZIMMERMAN, MAYRA Prescribing Physician Assistant Physician Assistant 9107998 9/20/2017

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/2/2024



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** 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.


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