License Verification

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LENA MCLEAN

License Number: PA9111501

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9111501
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/31/2018
Address of Record
915 W Monroe 200
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2001 Kingsley Avenue
ORANGE PARK, FL 32073
Address
3625 University Blvd S Memorial Hospital
JACKSONVILLE, FL 32216
Address
1670 St. Vincents Way Saint Vincent Clay County
MIDDLEBURG, FL 32068
Address
4201 Belfort Road St Vincent Southside
JACKSONVILLE, FL 32216
Address
1 Shircliff Way Orange Park Medical Center
JACKSONVILLE, FL 32204
Address
400 Health Park
ST AUGUSTINE, FL 32086
Name Relationship Profession License Effective Date
AYAD, SALWA SALAMA MD Supervising Prescribing Practitioner Medical Doctor 94569 02/15/2021
DAJANI, LORRAINE HOLLINGSWORT MD Supervising Prescribing Practitioner Medical Doctor 49976 03/11/2021
DESHMUKH, SHILPA Supervising Prescribing Practitioner Medical Doctor 154985 07/01/2022
EVANS, JOHN GARY MD Supervising Prescribing Practitioner Medical Doctor 63658 03/11/2021
KAMBHATLA, AKSHAYA Supervising Prescribing Practitioner Medical Doctor 167071 07/09/2024
MAGEE, JAMES SAMPLE Supervising Prescribing Practitioner Medical Doctor 30740 03/11/2021
ROURA, MIGUEL FABIAN Supervising Prescribing Practitioner Medical Doctor 50092 02/15/2021
SHRESTHA, ANIL PRASAD MD Supervising Prescribing Practitioner Medical Doctor 83286 02/15/2022
SILVA, RICARDO ANTONIO Supervising Prescribing Practitioner Medical Doctor 62054 02/15/2021
SULTAN, SENAN MD Supervising Prescribing Practitioner Medical Doctor 100893 03/11/2021
SUTTON, DAVID RICKENBECK JR Supervising Prescribing Practitioner Medical Doctor 58349 03/11/2021
VILLAVICENCIO, RAQUEL Supervising Prescribing Practitioner Medical Doctor 166674 07/22/2024
WADUD, KHURRAM Supervising Prescribing Practitioner Medical Doctor 97274 03/11/2021
WARDA, FIRAS Supervising Prescribing Practitioner Medical Doctor 155506 07/01/2022

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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 12/23/2024



* 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.