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JONATHAN DANIEL KISTEMAKER

License Number: AA489

Data As Of 6/1/2024

Profession
Anesthesiologist Assistant
License
AA489
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/26/2018
Address of Record
900 PRUDENTIAL DRIVE
JACKSONVILLE, FL 32207
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AMIN, MOLLY DHARMESH Supervising ME Medical Doctor 141389 10/01/2019
BEBEAU, EUGENE RUSSELL JR Supervising ME Medical Doctor 59387 11/09/2018
BEJAR, MIGUEL ANTONIO Supervising ME Medical Doctor 80815 11/09/2018
BLUM, ALFRED MERLIN Supervising ME Medical Doctor 97499 11/09/2018
BOLTON, JOANN EMMANUEL Supervising ME Medical Doctor 117202 11/09/2018
BRAININ, JOSUE Supervising ME Medical Doctor 105380 11/09/2018
CARDENAS, EFREN BAUTISTA Supervising ME Osteopathic Physician 10358 11/09/2018
CHUGAY, OLEXY Supervising ME Medical Doctor 90078 11/09/2018
COOK, RACHEL ALISON Supervising ME Medical Doctor 105050 11/09/2018
DIXON, CHERYL LYNN MD Supervising ME Medical Doctor 53494 11/09/2018
ERVANIAN, JAMES ARMEN Supervising ME Medical Doctor 64376 11/09/2018
FLEMING, JAMES WESLEY Supervising ME Medical Doctor 55700 11/09/2018
GROOVER, TIMOTHY GENTLE MD Supervising ME Medical Doctor 65840 11/09/2018
HEWLETT, TODD FREW Supervising ME Medical Doctor 66344 11/09/2018
INGE, WELLFORD WARRINER III Supervising ME Medical Doctor 67189 11/09/2018
JIMENEZ, JOSE FRANCISCO Supervising ME Medical Doctor 50023 11/09/2018
KRAMP, MARK WAYNE MD Supervising ME Medical Doctor 39585 11/09/2018
LUMERMANN, LEANDRO Supervising ME Medical Doctor 132142 10/01/2019
MARTIN, GLEN FITZGERALD Supervising ME Medical Doctor 76157 11/09/2018
MCDONALD, JOHN DOUGLAS Supervising ME Medical Doctor 113798 11/09/2018
MORGAN, MATTHEW L Supervising ME Medical Doctor 103395 11/09/2018
PALMA, MATTHEW JAMES Supervising ME Medical Doctor 141259 09/01/2019
PATEL, SANJEEV CHANDRAKANT Supervising ME Medical Doctor 90167 11/09/2018
PERRY, ELIZABETH BOLTER Supervising ME Medical Doctor 71665 11/09/2018
PIERCE, MARINA A Supervising ME Medical Doctor 93509 11/09/2018
PIPPINS, DAVID NOEL Supervising ME Medical Doctor 58756 11/09/2018
QUIGGLE, FORREST CHRISTIAN Supervising ME Medical Doctor 105730 11/09/2018
RAMJOHN, JOANNE Supervising ME Medical Doctor 92966 11/09/2018
SOPKOVICH, CHRISTOPHER JOHN Supervising ME Osteopathic Physician 15857 09/01/2019
SUTTER, JUDITH ALTHAUSER M D Supervising ME Medical Doctor 68448 11/09/2018
TAKACS, ANTAL Supervising ME Medical Doctor 91042 11/09/2018
TARTT, SHANE RANDALL Supervising ME Medical Doctor 101522 11/09/2018
VANGURA, DAVID JOHN Supervising ME Medical Doctor 107680 11/09/2018
VELEZ, SAMUEL J MD Supervising ME Medical Doctor 91607 11/09/2018
WALKER, FRANK BENNETT MD Supervising ME Medical Doctor 47438 11/09/2018

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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 6/1/2024



* 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.