Medical Quality Assurance (MQA) Services

License Verification Search

Link to Practitioner Profile

License Verification
Data As Of 10/25/2014

LICENSE NUMBER: ME8859 Printer Friendly Version 

License/Activity Status Controlled Substance Prescriber
OBLIGATIONS/ACTIVEClick here for more information YESClick here for more information
License Expiration Date License Original Issue Date
1/31/2015 12/31/1973
Discipline on File Public ComplaintClick here for more information
YES Link To Discipline YES Link To Complaint
Address of Record
580 Mulberry Street

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.