License Verification

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ANDRE M DALEY

License Number: PA9112006

Data As Of 11/24/2024

Profession
Physician Assistant
License
PA9112006
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/28/2019
Address of Record
Rothman Orthopaedics
7975 Lake Underhill Road
Ste 330
ORLANDO, FL 32822
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
AdventHealth Centra Care Orthopaedic Urgent Care Winter Park 2325 W. Fairbanks Ave, Ste 2
WINTER PARK, FL 32789
Name Relationship Profession License Effective Date
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 09/13/2021
DURFEE, RYAN ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 129229 09/13/2021
HAWKS, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 104554 09/13/2021
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 07/22/2022
HENDRIX, TIMOTHY WAYNE Supervising Prescribing Practitioner Medical Doctor 65142 07/22/2022
MCCLEARY, MICHAEL DOUGLAS Supervising Dispensing Practitioner Medical Doctor 98424 08/01/2023
MCCLEARY, MICHAEL DOUGLAS Supervising Prescribing Practitioner Medical Doctor 98424 08/01/2023
NGUYEN, DUNG D Supervising Prescribing Practitioner Osteopathic Physician 13607 01/01/2024

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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 11/24/2024



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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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