License Verification

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ROBERT LOPEZ

License Number: PA9107221

Data As Of 5/16/2024

Profession
Physician Assistant
License
PA9107221
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/13/2013
Address of Record
201 E Sample Rd
POMPANO BEACH, FL 33064
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6401 N. FEDERAL HW Broward Health Imperial Point
FT LAUDERDALE, FL 33308
Address
9325 Glades Rd Internal Medicine Associates
BOCA RATON, FL 33434
Address
1601 S. Andrews Ave 2nd Floor Broward Health Sports Medicne
FORT LAUDERDALE, FL 33316
Address
10139 NW 31st St #202
CORAL SPRINGS, FL 33065
Address
670 Glades Rd Boca Care
BOCA RATON, FL 33431
Address
800 Meadows Rd Boca Raton Regional Hospital
BOCA RATON, FL 33486
Name Relationship Profession License Effective Date
MORAES, BRIAN CARL DO Supervising Prescribing Practitioner Osteopathic Physician 7601 10/05/2019
PFAFF-AMESSE, TERESA JEANINE Supervising Prescribing Practitioner Medical Doctor 120923 07/10/2017
SAPERSTEIN, ALAN LAURENCE Supervising Prescribing Practitioner Medical Doctor 68406 02/01/2017
WALTERS, JASON ANTHONY Supervising Prescribing Practitioner Medical Doctor 117228 01/01/2017

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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 5/16/2024



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** 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.


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