License Verification

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SHENEQUA FISHER

License Number: PA9115526

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9115526
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/18/2022
Address of Record
401 W. Kennedy BLVD
Box 11F
Tampa
TAMPA, FL 33606
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
BEFELER, ADAM ROSS Supervising Prescribing Practitioner Medical Doctor 127779 08/22/2024
DANIELS, AISHWARYA POTDAR Supervising Prescribing Practitioner Medical Doctor 168677 09/09/2024
DAVENPORT, ALLISON ELIZABETH Supervising Prescribing Practitioner Medical Doctor 144457 08/08/2024
DODARD, DANIEL MARTIN Supervising Prescribing Practitioner Medical Doctor 108955 02/08/2024
JOBE, KIRK WAYNE M D Supervising Prescribing Practitioner Medical Doctor 93476 08/22/2024
SHORTER, CEDRIC DEWAYNE Supervising Prescribing Practitioner Medical Doctor 117022 08/22/2024
WERDEN, WILLIAM LOUIS JR Supervising Prescribing Practitioner Osteopathic Physician 8667 02/14/2024

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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 4/25/2025



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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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