License Verification

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AMY ARNOLD HANEY

License Number: PA9102451

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9102451
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/10/2003
Address of Record
4500 San Pablo Road
Mayo Clinic
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1633 Racetrack Rd Avecina
JACKSONVILLE, FL 32259
Name Relationship Profession License Effective Date
DAWSON, NANCY LEE MD Supervising Prescribing Practitioner Medical Doctor 83319 02/16/2021
DUMITRASCU, ADRIAN GEORGE Supervising Prescribing Practitioner Medical Doctor 106243 01/26/2021
MATCHA, GAUTAM VIVEK Supervising Prescribing Practitioner Medical Doctor 118355 02/16/2021
MAYO, MICHAEL RAE Supervising Prescribing Practitioner Osteopathic Physician 12500 01/26/2021
MORAN, KAITLIN MCCURDY Supervising Prescribing Practitioner Medical Doctor 123359 01/26/2021
MURAWSKA BAPTISTA, ALEKSANDRA Supervising Prescribing Practitioner Medical Doctor 132468 01/26/2021
PAULSON, MARGARET R Supervising Prescribing Practitioner Osteopathic Physician 17042 05/24/2021

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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



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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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