License Verification

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CHARLTON PAIGE DENNISON

License Number: ME121535

Data As Of 5/9/2024

Profession
Medical Doctor
License
ME121535
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/09/2014
Address of Record
406 Fairpoint drive
GULF BREEZE, FL 32561
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ALSHAZLEY, MOUDAR Subordinate Medical Doctor 78728 5/13/2021
ANDOLA, ISRAEL Prescribing Physician Assistant Physician Assistant 9114152 8/25/2021
HOUSTON, MARK WILLIAM Prescribing Physician Assistant Physician Assistant 9102607 8/19/2021
LILJEGREN, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9117102 3/1/2023
LOCKLEAR, ALEXANDRA MACKINLAY Prescribing Physician Assistant Physician Assistant 9103837 12/3/2018
SMITHEY, CRYSTAL DIANNA Prescribing Physician Assistant Physician Assistant 9104863 6/1/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/9/2024



* 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.