License Verification

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PATRICK G MORA

License Number: PA9100684

Data As Of 6/6/2025

Profession
Physician Assistant
License
PA9100684
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/22/1998
Address of Record
9981 S. HEALTHPARK DRIVE
FORT MYERS, FL 33908
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
339 9TH STREET NORTH NCH PHYSICIANS GROUP
NAPLES, FL 34102
Address
9981 SOUTH. HEALTH PARK DRIVE LPG CARDIOTHORACIC SURGERY
FORT MYERS, FL 33908
Address
2776 CLEVELAND AVENUE LEE MEMORIAL HEALTH SYSTEM
FT MYERS, FL 33901
Name Relationship Profession License Effective Date
BUSS, RANDALL WILLIAM Supervising Prescribing Practitioner Medical Doctor 53169 09/18/2017
DEFRAIN, MICHAEL PATRICK Supervising Prescribing Practitioner Medical Doctor 104727 09/18/2017
DIGIORGI, PAUL LANCASTER Supervising Prescribing Practitioner Medical Doctor 98545 09/18/2017
HUMMEL, BRIAN W Supervising Prescribing Practitioner Medical Doctor 46159 09/18/2017

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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 6/7/2025



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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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