License Verification

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LISA ANN MARTIN

License Number: APRN3215122

Data As Of 5/17/2024

Profession
Advanced Practice Registered Nurse
License
APRN3215122
License Status
CLEAR/Active
Qualifications
Nurse Practitioner
License Expiration Date
4/30/2025
License Original Issue Date
10/16/1997
Address of Record
515 Kings Avenue
Suite 3100
BRANDON, FL 33511
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13123 Kings Lake Drive
GIBSONTON, FL 33534
Address
2108 WOMEN'S CARE Thonotosassa Road
PLANT CITY, FL 33563
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
APRN Conversion Registered Nurse 3215122 10/19/2018

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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.