License Verification

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LAURA NICOLE GASKILL

License Number: PA9107917

Data As Of 5/16/2024

Profession
Physician Assistant
License
PA9107917
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/15/2014
Address of Record
9330 FL-54
TRINITY, FL 34655
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10461 Quality Drive
SPRING HILL, FL 34609
Address
6201 N. Suncoast Blvd
CRYSTAL RIVER, FL 34428
Address
17240 Cortez Blvd
BROOKSVILLE, FL 34601
Name Relationship Profession License Effective Date
CHAN, ADDISON CHI-KIT Supervising Prescribing Practitioner Osteopathic Physician 16884 11/22/2021
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 12/17/2020
KEERTY, DINESH Supervising Prescribing Practitioner Medical Doctor 124796 03/14/2022
LYONS, LANCE BRADFORD Supervising Prescribing Practitioner Physician Assistant 9105357 11/15/2021
OTT, PAUL CARL Supervising Prescribing Practitioner Osteopathic Physician 18168 10/25/2021

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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 5/17/2024



* 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.