License Verification

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SAMANTHA SUE SELLERS

License Number: PA9115984

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9115984
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/19/2022
Address of Record
449 W 23rd St
PANAMA CITY, FL 32405
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2600 Hospital Dr.
BONIFAY, FL 32425
Name Relationship Profession License Effective Date
CARLSON, WILLIAM SHAW Supervising Prescribing Practitioner Medical Doctor 121446 10/20/2022
FERNER, DAVID JAMES Supervising Prescribing Practitioner Medical Doctor 106534 02/14/2023
VEREL, PHILIP JOHN JR Supervising Prescribing Practitioner Medical Doctor 124773 02/14/2023

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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.