License Verification

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DIYANA MALAKOTI

License Number: PA9103269

Data As Of 4/29/2024

Profession
Physician Assistant
License
PA9103269
License Status
DELINQUENT/
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2024
License Original Issue Date
05/17/2005
Address of Record
2930 76th Ave SE #A201
MERCER ISLAND, WA 98040
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ARROYO, ADALBERTO DAVID Supervising Dispensing Practitioner Medical Doctor 94941 06/29/2016
ARROYO, ADALBERTO DAVID Supervising Prescribing Practitioner Medical Doctor 94941 06/28/2016
BALDINO, JOHN DOMINIC M D Supervising Dispensing Practitioner Medical Doctor 36441 06/29/2016
BALDINO, JOHN DOMINIC M D Supervising Prescribing Practitioner Medical Doctor 36441 06/28/2016
CABRERA, DENISE Supervising Dispensing Practitioner Medical Doctor 81824 06/29/2016
CABRERA, DENISE Supervising Prescribing Practitioner Medical Doctor 81824 06/28/2016
CAMPBELL, DAMION RICHARD Supervising Prescribing Practitioner Medical Doctor 80043 06/28/2016
CARBONELL, SHEILA IVETTE MD Supervising Dispensing Practitioner Medical Doctor 96216 06/29/2016
CARBONELL, SHEILA IVETTE MD Supervising Prescribing Practitioner Medical Doctor 96216 06/28/2016
COKER, ALICIA DOLORES Supervising Dispensing Practitioner Medical Doctor 83860 06/29/2016
COKER, ALICIA DOLORES Supervising Prescribing Practitioner Medical Doctor 83860 06/28/2016
CONNOR, ERIN CRUISE Supervising Prescribing Practitioner Osteopathic Physician 11550 08/01/2021
CORDOVA, LEONEL Supervising Dispensing Practitioner Medical Doctor 94828 06/29/2016
CORDOVA, LEONEL Supervising Prescribing Practitioner Medical Doctor 94828 06/28/2016
DE URRESTI, MIREN ALAI Supervising Dispensing Practitioner Medical Doctor 72002 06/29/2016
DE URRESTI, MIREN ALAI Supervising Prescribing Practitioner Medical Doctor 72002 06/28/2016
DIAZ, GERARDO MD Supervising Dispensing Practitioner Medical Doctor 103459 06/29/2016
DIAZ, GERARDO MD Supervising Prescribing Practitioner Medical Doctor 103459 06/28/2016
ESTEVEZ, VICTOR M Supervising Dispensing Practitioner Medical Doctor 96674 06/29/2016
ESTEVEZ, VICTOR M Supervising Prescribing Practitioner Medical Doctor 96674 06/28/2016
GANDIA, ANTONIO Supervising Dispensing Practitioner Medical Doctor 53887 06/29/2016
GANDIA, ANTONIO Supervising Prescribing Practitioner Medical Doctor 53887 06/28/2016
GARCIA, DINA ZAKI Supervising Dispensing Practitioner Osteopathic Physician 11587 06/29/2016
GARCIA, DINA ZAKI Supervising Prescribing Practitioner Osteopathic Physician 11587 06/28/2016
GAZO, ARTURO JOSE Supervising Dispensing Practitioner Medical Doctor 91347 06/29/2016
GAZO, ARTURO JOSE Supervising Prescribing Practitioner Medical Doctor 91347 06/28/2016
GONCALVES, CAIO NERY Supervising Dispensing Practitioner Medical Doctor 97694 06/29/2016
GONCALVES, CAIO NERY Supervising Prescribing Practitioner Medical Doctor 97694 06/28/2016
GONZALEZ CARRILLO, ROYNEL Supervising Dispensing Practitioner Medical Doctor 108237 06/29/2016
GONZALEZ CARRILLO, ROYNEL Supervising Prescribing Practitioner Medical Doctor 108237 06/28/2016
HERNANDEZ, ANN MARIE DO Supervising Dispensing Practitioner Osteopathic Physician 9432 06/29/2016
HERNANDEZ, ANN MARIE DO Supervising Prescribing Practitioner Osteopathic Physician 9432 06/28/2016
JOHNSON, YVONNE TURNER Supervising Prescribing Practitioner Medical Doctor 58205 06/28/2016
KRANICHFELD, WILLIAM HUBERT JR Supervising Dispensing Practitioner Medical Doctor 57914 06/29/2016
KRANICHFELD, WILLIAM HUBERT JR Supervising Prescribing Practitioner Medical Doctor 57914 06/28/2016
LAZOVIC, NINA MD Supervising Dispensing Practitioner Medical Doctor 98974 06/29/2016
LAZOVIC, NINA MD Supervising Prescribing Practitioner Medical Doctor 98974 06/28/2016
LEWIS, LINDSAY NICOLE Supervising Dispensing Practitioner Medical Doctor 107010 06/29/2016
LEWIS, LINDSAY NICOLE Supervising Prescribing Practitioner Medical Doctor 107010 06/28/2016
LIU, CONNIE X Supervising Dispensing Practitioner Medical Doctor 118974 06/29/2016
LIU, CONNIE X Supervising Prescribing Practitioner Medical Doctor 118974 06/28/2016
MEDEROS, RAINER Supervising Dispensing Practitioner Medical Doctor 102176 06/29/2016
MEDEROS, RAINER Supervising Prescribing Practitioner Medical Doctor 102176 06/28/2016
MEDNICK, STEVEN LEWIS Supervising Dispensing Practitioner Medical Doctor 60361 06/29/2016
MEDNICK, STEVEN LEWIS Supervising Prescribing Practitioner Medical Doctor 60361 06/28/2016
MION-BET, STEFANO Supervising Dispensing Practitioner Medical Doctor 75066 06/29/2016
MION-BET, STEFANO Supervising Prescribing Practitioner Medical Doctor 75066 06/28/2016
MORRISON, THOMAS O'GLENN Supervising Dispensing Practitioner Medical Doctor 79946 06/29/2016
MORRISON, THOMAS O'GLENN Supervising Prescribing Practitioner Medical Doctor 79946 06/28/2016
NGUYEN, DAI LE Supervising Dispensing Practitioner Medical Doctor 102196 06/29/2016
NGUYEN, DAI LE Supervising Prescribing Practitioner Medical Doctor 102196 06/28/2016
O'SULLIVAN, BONNIE-JEAN Supervising Dispensing Practitioner Medical Doctor 84904 06/29/2016
O'SULLIVAN, BONNIE-JEAN Supervising Prescribing Practitioner Medical Doctor 84904 06/28/2016
PARDO, DAVERT Supervising Dispensing Practitioner Medical Doctor 89900 06/28/2016
PARDO, DAVERT Supervising Prescribing Practitioner Medical Doctor 89900 06/28/2016
PATRICOFF, TRACEY CARROLL Supervising Prescribing Practitioner Medical Doctor 56325 06/28/2016
PICK, DAVID LEON Supervising Dispensing Practitioner Medical Doctor 51760 06/29/2016
PICK, DAVID LEON Supervising Prescribing Practitioner Medical Doctor 51760 06/28/2016
PITTS, DAPHNE MARIAN MD Supervising Dispensing Practitioner Medical Doctor 90371 06/29/2016
PITTS, DAPHNE MARIAN MD Supervising Prescribing Practitioner Medical Doctor 90371 06/28/2016
POURMASIHA, LADAN Supervising Dispensing Practitioner Osteopathic Physician 11763 06/29/2016
POURMASIHA, LADAN Supervising Prescribing Practitioner Osteopathic Physician 11763 06/29/2016
QUEEN, CHRISTOPHER LARRY D O Supervising Dispensing Practitioner Osteopathic Physician 10481 06/29/2016
QUEEN, CHRISTOPHER LARRY D O Supervising Prescribing Practitioner Osteopathic Physician 10481 06/28/2016
RANCATORE, ELAINE MARIE DO Supervising Dispensing Practitioner Osteopathic Physician 5701 06/29/2016
RANCATORE, ELAINE MARIE DO Supervising Prescribing Practitioner Osteopathic Physician 5701 06/28/2016
RODRIGUEZ, FELIX ALEJANDRO Supervising Dispensing Practitioner Medical Doctor 77127 06/29/2016
RODRIGUEZ, FELIX ALEJANDRO Supervising Prescribing Practitioner Medical Doctor 77127 06/28/2016
RODRIGUEZ, JORGE Supervising Dispensing Practitioner Medical Doctor 80730 06/29/2016
RODRIGUEZ, JORGE Supervising Prescribing Practitioner Medical Doctor 80730 06/28/2016
RODRIGUEZ, JOSE R Supervising Dispensing Practitioner Medical Doctor 59427 06/29/2016
RODRIGUEZ, JOSE R Supervising Prescribing Practitioner Medical Doctor 59427 06/28/2016
RUTHMAN, KAREN ELIZABETH MD Supervising Dispensing Practitioner Medical Doctor 76593 06/29/2016
RUTHMAN, KAREN ELIZABETH MD Supervising Prescribing Practitioner Medical Doctor 76593 06/28/2016
SANZ MARTINEZ, ERNESTO Supervising Dispensing Practitioner Medical Doctor 121839 06/29/2016
SANZ MARTINEZ, ERNESTO Supervising Prescribing Practitioner Medical Doctor 121839 06/28/2016
SASONI, MICHAEL JACOB JR Supervising Dispensing Practitioner Osteopathic Physician 9047 06/29/2016
SASONI, MICHAEL JACOB JR Supervising Prescribing Practitioner Osteopathic Physician 9047 06/28/2016
SHAFFER, ROBERT INGO MD Supervising Dispensing Practitioner Medical Doctor 64953 06/29/2016
SHAFFER, ROBERT INGO MD Supervising Prescribing Practitioner Medical Doctor 64953 06/28/2016
STANLEY, ANTHONY GEORGE MD Supervising Dispensing Practitioner Medical Doctor 77954 06/29/2016
STANLEY, ANTHONY GEORGE MD Supervising Prescribing Practitioner Medical Doctor 77954 06/28/2016
VAZQUEZ, LISETTE Supervising Dispensing Practitioner Osteopathic Physician 9315 06/29/2016
VAZQUEZ, LISETTE Supervising Prescribing Practitioner Osteopathic Physician 9315 06/28/2016
ZAKI, SAMIA FAHMI Supervising Dispensing Practitioner Medical Doctor 78986 06/29/2016
ZAKI, SAMIA FAHMI Supervising Prescribing Practitioner Medical Doctor 78986 06/28/2016
ZITEK, ANTON JOSEPH Supervising Prescribing Practitioner Medical Doctor 133862 09/15/2021

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

Name Relationship Profession License Effective Date
ANDERSON, KIRSTIN ELIZABETH Prescribing Physician Assistant Physician Assistant 9104911 8/1/2021
BODERO, JOANAH CHRISTINE Prescribing Physician Assistant Physician Assistant 9104352 8/1/2021
BRAUNSTEIN, THEODORE Prescribing Physician Assistant Physician Assistant 2476 8/1/2021
FIGUEROA, JENNIFER S Prescribing Physician Assistant Physician Assistant 9105448 8/1/2021
GAREL, JOHAN ISAIAH Prescribing Physician Assistant Physician Assistant 9106448 8/1/2021
LARATRO, LENA DEMARCO Prescribing Physician Assistant Physician Assistant 9102136 8/1/2021
MANDLER, ALYSSA Prescribing Physician Assistant Physician Assistant 9108937 8/1/2021
ZAPATA, DARIO HERMAN Prescribing Physician Assistant Physician Assistant 9103082 8/1/2021

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

Name Relationship Profession License Effective Date

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



No Continuing Education Hours Received from Approved Providers As Of 4/29/2024



* 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.