License Verification

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JOHN PATRICK MALLOY IV

License Number: OS11281

Data As Of 7/10/2020

Profession
Osteopathic Physician
License
OS11281
License Status
CLEAR/ACTIVE
License Expiration Date
3/31/2022
License Original Issue Date
04/01/2011
Address of Record
4515 WILES ROAD
SUITE 201
COCONUT CREEK, FL 33073
UNITED STATES
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

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Name Relationship Profession License Effective Date
HEINZ, JEANA MARIE SUPER-DOsubordinate Physician Assistant 9101635 12/1/2015
LANE, SHELBY ALLISON SUPER-DOsubordinate Physician Assistant 9106913 11/19/2012
RADI, LUCIANO JOHN SUPER-DOsubordinate Physician Assistant 9104117 12/28/2013

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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 7/10/2020



* 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.