License Verification

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MEREDITH MCBRIDE MILLER

License Number: PA9101718

Data As Of 5/20/2024

Profession
Physician Assistant
License
PA9101718
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/16/2001
Address of Record
8926 77TH TERRACE EAST, 101
Emily F. Arsenault, MD, PA
BRADENTON, FL 34202
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
5860 Ranch Lake Blvd 103 Emily F. Arsenault, MD, PA
LAKEWOOD RANCH, FL 34202
Address
230 Manatee Ave East Arsenault Dermatology
BRADENTON, FL 34208
Address
5807 21st Ave W Arsenault Dermatology
BRADENTON, FL 34209
Name Relationship Profession License Effective Date
ELLIS, DANA LEE-ANNE Supervising Dispensing Practitioner Medical Doctor 146921 08/30/2022
ELLIS, DANA LEE-ANNE Supervising Prescribing Practitioner Medical Doctor 146921 08/30/2022

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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 5/20/2024



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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.


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