License Verification

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SHANNON ARLENE MOORE

License Number: AA1212

Data As Of 9/3/2026

Profession
Anesthesiologist Assistant
License
AA1212
License Status
Clear/Active
License Expiration Date
1/31/2027
License Original Issue Date
06/12/2026
Address of Record
3100 E Fletcher Ave
TAMPA, FL 33613
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ATTAALLAH, AHMED FIKRY Supervising ME Medical Doctor 102788 06/22/2026
BALTERA, NICHOLAS Supervising ME Osteopathic Physician 22240 06/22/2026
BENNETT, AMANDA LAUREN Supervising ME Medical Doctor 159199 06/22/2026
BURGER, MELISSA ANNE Supervising ME Medical Doctor 126643 06/22/2026
CAREY, KYLE DAVID Supervising ME Medical Doctor 173321 06/22/2026
CHOI, DIANE BILLIE Supervising ME Medical Doctor 173763 06/22/2026
CUMMINGS, NICHOLAS ALLAN Supervising ME Medical Doctor 128454 06/22/2026
CUPIDO, MATTHEW JOSEPH Supervising ME Osteopathic Physician 13170 06/22/2026
DAZEN, KEVIN Supervising ME Medical Doctor 173852 06/22/2026
DIAZ, ANTONIO P JR Supervising ME Medical Doctor 66173 06/22/2026
ESCOBAR, SHAHLA KHALILAHMADI Supervising ME Medical Doctor 117940 06/22/2026
EVANS, RAYMOND MYERS III Supervising ME Medical Doctor 102748 06/22/2026
GARCIA, GLORIA TUMABANG Supervising ME Medical Doctor 69307 06/22/2026
HAWK, THOMAS A Supervising ME Medical Doctor 110447 06/22/2026
HOWELL, FRANKLIN LINTON Supervising ME Medical Doctor 56100 06/22/2026
HUANG, JESSICA Supervising ME Medical Doctor 158427 06/22/2026
HUMMEL, JACOB CHRISTOPHER Supervising ME Medical Doctor 128173 06/22/2026
HUSSAIN, INTESAR Supervising ME Medical Doctor 133007 06/22/2026
INOUYE, JOHN Supervising ME Medical Doctor 160213 06/22/2026
JACOB, SALVIN Supervising ME Osteopathic Physician 19128 06/22/2026
JOHNSON, JASON OLIVER Supervising ME Medical Doctor 130841 06/22/2026
JUSZCZAK, BROOKE ANASTASIA Supervising ME Medical Doctor 176189 06/22/2026
KARIM-JETHA, ZAHEER SADRUDDIN Supervising ME Medical Doctor 115862 06/22/2026
KING, MARTHA ANNE DEBERRY Supervising ME Medical Doctor 145743 06/22/2026
KUJAK, MARY KAY SAMANTHA Supervising ME Medical Doctor 173932 06/22/2026
LI, YUE MONICA Supervising ME Medical Doctor 143912 06/22/2026
LINDSEY, PHILLIP TYLER Supervising ME Medical Doctor 178757 06/22/2026
LIPSKA, ANNA Supervising ME Medical Doctor 93703 06/22/2026
LONGBOTTOM, WARD GREGORY Supervising ME Medical Doctor 55322 06/22/2026
LUEBBERT, ANDREW Supervising ME Osteopathic Physician 16111 06/22/2026
LUTMAN, BRYAN RICHARD Supervising ME Osteopathic Physician 18461 06/22/2026
MAHESHWARI, NEERAJ Supervising ME Medical Doctor 163132 06/22/2026
MAK, KINLAP Supervising ME Medical Doctor 149096 06/22/2026
MCCLEISH-LOPEZ, LINDA NICOLE Supervising ME Medical Doctor 163585 06/22/2026
MOAYED, OMID GHAZI Supervising ME Medical Doctor 145213 06/22/2026
MUNESES, CLIFFORD Supervising ME Medical Doctor 140178 06/22/2026
NEDEFF, NICHOLAS BORIS Supervising ME Medical Doctor 99083 06/22/2026
NGUYEN, NGOC THI Supervising ME Medical Doctor 67875 06/22/2026
OSUNSANMI, BABAJIDE MICHAEL Supervising ME Medical Doctor 141214 06/22/2026
OWEIDAT, ADEEB Supervising ME Medical Doctor 177798 06/22/2026
PAGANELLI, WILLIAM CHARLES Supervising ME Medical Doctor 137453 06/22/2026
PARVAN, LUCIA STEFANIA Supervising ME Medical Doctor 114658 06/22/2026
PATEL, AALOK T Supervising ME Osteopathic Physician 11076 06/22/2026
PATEL, LISA SUMANTLAL Supervising ME Medical Doctor 111281 06/22/2026
PATEL, PARTHIK Supervising ME Medical Doctor 179124 06/22/2026
PERSAUD-SHARMA, DHARAM Supervising ME Medical Doctor 160467 06/22/2026
POURMAND, ERIC Supervising ME Medical Doctor 107414 06/22/2026
QUICK, JOHNNY LLOYD Supervising ME Medical Doctor 143224 06/22/2026
RESNICK, ANDREW SCOT Supervising ME Medical Doctor 159077 06/22/2026
RIVERA, PETER DAVID Supervising ME Medical Doctor 120022 06/22/2026
ROSENFELD, KEJIA ZHANG Supervising ME Medical Doctor 85115 06/22/2026
SANTOS, ANTONIO AREVALO JR Supervising ME Medical Doctor 66444 06/22/2026
SCHMIDT, JARRETT LEE Supervising ME Osteopathic Physician 22782 06/22/2026
SERDIUK, ANDREW ANTHONY Supervising ME Osteopathic Physician 10038 06/22/2026
SETTY, HARSHA Supervising ME Medical Doctor 123525 06/22/2026
SHAH, MAHIMA Supervising ME Osteopathic Physician 18549 06/22/2026
TABET, ELIAS SAID Supervising ME Medical Doctor 160448 06/22/2026
TANNER, LEIGH HOLT Supervising ME Medical Doctor 108873 06/22/2026
THAKKAR, MRUGESH Supervising ME Medical Doctor 132941 07/07/2026
TRUOCCHIO, MATTHEW THOMAS Supervising ME Medical Doctor 165099 06/22/2026
UMHOLTZ, MATTHEW JAMES Supervising ME Osteopathic Physician 12498 06/22/2026
VARLOTTA, DAVID Supervising ME Osteopathic Physician 5406 06/22/2026
WARNER, RICHARD T MD Supervising ME Medical Doctor 120180 06/22/2026
WEBB, ELLEN HAGELUND Supervising ME Medical Doctor 143371 06/22/2026
WEITZNER, H CORY SCOTT Supervising ME Medical Doctor 95455 06/22/2026
WELLS, JASON Supervising ME Medical Doctor 140329 06/22/2026
WILSON, COLIN Supervising ME Medical Doctor 140926 06/22/2026

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 9/3/2026



* 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.