License Verification

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EUGENE DANIEL MAHANEY

License Number: ME78073

Data As Of 4/29/2025

Profession
Medical Doctor
License
ME78073
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/20/1999
Address of Record
7964 Summerlin Lakes Drive
FORT MYERS
FORT MYERS, FL 33907
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
9400 Bonita Beach Road Suite 101
BONITA SPRINGS, FL 34135
Address
1031 SE 9TH Place Suite #5
CAPE CORAL, FL 33990
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BROWN, MELYNDA S Dispensing Physician Assistant Physician Assistant 9106141 7/21/2021
BROWN, MELYNDA S Prescribing Physician Assistant Physician Assistant 9106141 5/21/2019
PAIN MANAGEMENT CONSULTANTS OF SW FLORID HCCE Health Care Clinic Establishment Permit 948 1/5/2009
WITTER, KARLENE Dispensing Physician Assistant Physician Assistant 9110136 12/13/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/29/2025



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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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