License Verification

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WILLIAM RYAN SUTTON

License Number: PA9102988

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9102988
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/29/2004
Address of Record
10475 CENTURION PKWY
Suite 220
JACKSONVILLE, FL 32256
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1658 ST. VINCENT'S WAY suite 100
MIDDLEBURG, FL 32068
Address
15255 MAX LEGGET PKWY
JACKSONVILLE, FL 32218
Address
2627 Riverside Ave 3rd floor
JACKSONVILLE, FL 32204
Name Relationship Profession License Effective Date
DESHMUKH, RAHUL VINOD Supervising Dispensing Practitioner Medical Doctor 90643 07/12/2022
DESHMUKH, RAHUL VINOD Supervising Prescribing Practitioner Medical Doctor 90643 06/27/2016
DUFFY, GAVAN PATRICK MD Supervising Prescribing Practitioner Medical Doctor 80485 06/27/2016
MURPHY, KEVIN PAUL Supervising Prescribing Practitioner Medical Doctor 65834 06/27/2016

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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.


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