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License Number: ME140291

Data As Of 6/2/2024

Profession Medical Doctor
License ME140291
License Status CLEAR/Active
License Expiration Date 1/31/2025
License Original Issue Date 04/12/2019
Address of Record 5201 Raymond St.
ORLANDO, FL 32803
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

The information on this page is a secure, primary source for license verification provided by the Florida Department of Health, Division of Medical Quality Assurance. This website is maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.