License Verification

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LAUREN ALYSSE SHAW

License Number: PA9110682

Data As Of 5/19/2025

Profession
Physician Assistant
License
PA9110682
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/18/2017
Address of Record
6410 W Gulf to Lake Hwy
CRYSTAL RIVER, FL 34429
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
502 W. HIGHLAND BLVD. CITRUS MEMORIAL HOSPITAL
INVERNESS, FL 34452
Address
10740 Palm River Road Suite 200 TGH Brandon HelathPlex
TAMPA, FL 33619-4572
Address
3621 E. FOREST DR. GASTROENTEROLOGY ASSOICATES
INVERNESS, FL 34453
Name Relationship Profession License Effective Date
WEIN, DAVID ABRAHAM Supervising Prescribing Practitioner Medical Doctor 99292 04/11/2025

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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 5/19/2025



* 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.