License Verification

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DAVID POWELL HENDRY JR

License Number: PA9102146

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9102146
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/11/2002
Address of Record
110 Longwood Ave
ROCKLEDGE, FL 32955
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
ALAKIJA, CHARLES OBAFEMI Supervising Prescribing Practitioner Medical Doctor 80775 12/01/2022
CONNOLLY, PATRICK J Supervising Prescribing Practitioner Osteopathic Physician 19382 03/29/2023
FORD, ROBERT CHARLES III Supervising Prescribing Practitioner Osteopathic Physician 12456 09/07/2022
HEMINGWAY, THOMAS JARED Supervising Prescribing Practitioner Medical Doctor 153423 03/01/2023
KAPPER, JORDAN Supervising Prescribing Practitioner Medical Doctor 159916 02/17/2023
MADSEN, ERIK ARTHUR Supervising Prescribing Practitioner Medical Doctor 163200 12/01/2023
MCINTYRE, MOLLY LAUREN Supervising Prescribing Practitioner Medical Doctor 116923 11/08/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 11/23/2022
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 06/13/2023
TERWILLIGER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 138339 03/14/2024

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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 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.