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CORY GRANT PETERS

License Number: PA9106781

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9106781
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/06/2012
Address of Record
Mayo Clinic
4500 San Pablo Road
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AZIZ, KEITH TARIQ Supervising Prescribing Practitioner Medical Doctor 152027 10/21/2024
CROWE, MATTHEW MURRAY Supervising Prescribing Practitioner Medical Doctor 130937 10/03/2024
DESHMUKH, RAHUL VINOD Supervising Prescribing Practitioner Medical Doctor 90643 06/30/2016
DUFFY, GAVAN PATRICK MD Supervising Prescribing Practitioner Medical Doctor 80485 06/30/2016
HAUPT, EDWARD THOMAS Supervising Prescribing Practitioner Medical Doctor 150089 10/17/2024
HURFORD, ROBERT KENNETH JR Supervising Prescribing Practitioner Medical Doctor 107092 06/30/2016
MARIGI, ERICK Supervising Prescribing Practitioner Medical Doctor 162751 10/16/2024
MONTERO, DANIEL PATRICK Supervising Prescribing Practitioner Medical Doctor 97775 10/21/2024
MURPHY, KEVIN PAUL Supervising Prescribing Practitioner Medical Doctor 65834 06/30/2016
MURRAY, PETER MARSHALL Supervising Prescribing Practitioner Medical Doctor 81143 10/03/2024
ORTIGUERA, CEDRIC JOSEPH Supervising Prescribing Practitioner Medical Doctor 80049 10/03/2024
SCHOCH, BRADLEY STEELE Supervising Prescribing Practitioner Medical Doctor 126408 10/03/2024
SHAPIRO, SHANE ADAM Supervising Prescribing Practitioner Medical Doctor 85733 10/03/2024
SHERMAN, COURTNEY ERIN Supervising Prescribing Practitioner Medical Doctor 113325 10/16/2024
SHI, GLENN GUANGYU Supervising Prescribing Practitioner Medical Doctor 123448 10/03/2024
SPRINGER, BRYAN DONALD Supervising Prescribing Practitioner Medical Doctor 166694 10/03/2024
WELLINGS, ELIZABETH PARTRIDGE Supervising Prescribing Practitioner Medical Doctor 167620 10/09/2024

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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.