License Verification

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SHANNON AMY MURPHY

License Number: PA9104387

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9104387
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/27/2007
Address of Record
636 Del Prado Blvd
CAPE CORAL, FL 33990
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
636 Del Prado Blvd
CAPE CORAL, FL 33990
Address
636 Delprado Blvd South Cape Coral Hospital/ Cape Coral ER
CAPE CORAL, FL 33990
Name Relationship Profession License Effective Date
ALAKIJA, CHARLES OBAFEMI Supervising Prescribing Practitioner Medical Doctor 80775 03/19/2020
BEECHY, CHRISTOPHER R Supervising Prescribing Practitioner Medical Doctor 140365 03/19/2020
BURLEY, KEITH CAMERON Supervising Prescribing Practitioner Medical Doctor 128193 03/30/2020
COX, COURTNEY LEIGH Supervising Prescribing Practitioner Osteopathic Physician 15387 03/21/2020
CUDNIK, MICHAEL MD Supervising Prescribing Practitioner Medical Doctor 117035 03/21/2020
ENSLEY, TYLER CHARLES Supervising Prescribing Practitioner Osteopathic Physician 15967 03/22/2020
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 03/22/2020

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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 11/21/2024



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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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