License Verification

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KALEENA LYNN SHIRLEY

License Number: PA9109143

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9109143
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/08/2015
Address of Record
15255 Max Leggett Pkwy
JACKSONVILLE, FL 32218
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALBURAIH, ABDULAZIZ Supervising Prescribing Practitioner Medical Doctor 140682 09/15/2021
ALENCASTRO PULS, HENRIQUE Supervising Prescribing Practitioner Medical Doctor 166038 07/11/2024
ALLEN, CHELSEA NEVADA Supervising Prescribing Practitioner Osteopathic Physician 18655 07/21/2024
BEARDSLEY, THOMAS Supervising Prescribing Practitioner Medical Doctor 139243 09/03/2019
BRAUD, CHRISTINE MARIE Supervising Prescribing Practitioner Medical Doctor 115103 08/30/2017
BRITTAN, TAYLOR Supervising Prescribing Practitioner Medical Doctor 162270 07/15/2023
CARPENTER, MICHAEL HANSON Supervising Prescribing Practitioner Medical Doctor 147520 08/05/2021
CARR, CASEY TERRY Supervising Prescribing Practitioner Medical Doctor 139535 12/15/2023
CLARE, JONATHAN Supervising Prescribing Practitioner Medical Doctor 145326 06/22/2020
CLUGSTON, CORY ROBERT Supervising Prescribing Practitioner Medical Doctor 155517 07/20/2022
COCCA, RYAN ANDREW Supervising Prescribing Practitioner Medical Doctor 163218 08/07/2022
COLE, JOHN STEPHEN Supervising Prescribing Practitioner Medical Doctor 139230 01/08/2020
COLEMAN, GIA Supervising Prescribing Practitioner Medical Doctor 154246 11/21/2022
DELBIANCO, JOHN DUBOIS Supervising Prescribing Practitioner Medical Doctor 166448 07/19/2024
ESCOBAR MEDINA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 153079 10/04/2021
FOX, HANNAH THOMASON Supervising Prescribing Practitioner Medical Doctor 135448 01/30/2020
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 09/09/2019
FREDERICKSEN, KIM ANN Supervising Prescribing Practitioner Medical Doctor 126793 03/15/2016
GAGE, CHRISTINE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 18019 07/15/2021
GHALI, SAMA Supervising Prescribing Practitioner Medical Doctor 147065 11/21/2020
GILBERT, MARISA Supervising Prescribing Practitioner Medical Doctor 140613 08/01/2021
HESTER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 141445 08/29/2019
JAVED, ADNAN Supervising Prescribing Practitioner Medical Doctor 139985 08/04/2021
LAMBE, BRYANT M D Supervising Prescribing Practitioner Medical Doctor 129964 05/25/2017
MARSHALL, JOHN BLAINE Supervising Prescribing Practitioner Medical Doctor 145165 11/25/2020
MARTZ, BLAKE AUTRY Supervising Prescribing Practitioner Osteopathic Physician 19896 08/05/2024
MCCLURE, MATTHEW BRYCE Supervising Prescribing Practitioner Medical Doctor 148261 07/20/2022
MYHRER, ERIK Supervising Prescribing Practitioner Medical Doctor 96634 08/29/2019
NIPPERT, JUSTIN ALAN Supervising Prescribing Practitioner Osteopathic Physician 17348 07/23/2024
PANAITESCU, VLAD Supervising Prescribing Practitioner Osteopathic Physician 17560 08/01/2021
PANDEY, AMAN Supervising Prescribing Practitioner Medical Doctor 156224 08/15/2022
PATEL, SHAMA Supervising Prescribing Practitioner Medical Doctor 145220 05/08/2020
PETERSEN, COURTNEY Supervising Prescribing Practitioner Medical Doctor 162748 08/05/2024
RASHID, SHAHNAZ Supervising Prescribing Practitioner Medical Doctor 147435 08/23/2024
RONEY, NATHAN Supervising Prescribing Practitioner Medical Doctor 159192 11/14/2022
SCHARE, ANDREW IRA Supervising Prescribing Practitioner Medical Doctor 80137 01/08/2020
SEGARRA-SALCEDO, ANDREA ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 154732 07/24/2023
STORCH, IAN DAVID Supervising Prescribing Practitioner Medical Doctor 132808 08/30/2017
SUCHENSKI, MAUREEN Supervising Prescribing Practitioner Medical Doctor 137483 11/10/2023
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 08/03/2022
THOMAS, STEPHANIE A Supervising Prescribing Practitioner Osteopathic Physician 17031 06/16/2023
V ZQUEZ-FUSTER, NGEL MANUEL Supervising Prescribing Practitioner Medical Doctor 162918 07/01/2024
ZOROVICH, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 153863 09/02/2023

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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 12/2/2024



* 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.