License Verification

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KEVIN BROCK OSBORNE

License Number: PA9107338

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9107338
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/17/2013
Address of Record
6535 Nemours Pkwy
Nemours Children's Hospital, Florida
ORLANDO, FL 32827
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
BALDWIN, MARGARET ANN Supervising Prescribing Practitioner Medical Doctor 146064 06/21/2023
ECHOLS, EDDY LEWIS JR Supervising Dispensing Practitioner Medical Doctor 89159 12/14/2017
ECHOLS, EDDY LEWIS JR Supervising Prescribing Practitioner Medical Doctor 89159 12/14/2017
GOFF, AZLYN S Supervising Prescribing Practitioner Medical Doctor 157327 06/15/2023
ILGENFRITZ, RYAN MATTHEW Supervising Prescribing Practitioner Medical Doctor 119700 06/21/2023
KHOURY, JOSEPH G Supervising Prescribing Practitioner Medical Doctor 130124 06/15/2023
LOVEJOY, JOHN FLETCHER III Supervising Prescribing Practitioner Medical Doctor 119262 06/21/2023
MALONE, JASON BRADLEY Supervising Prescribing Practitioner Osteopathic Physician 14628 06/21/2023
STALL, ALEC CHRISTIAN Supervising Prescribing Practitioner Medical Doctor 136094 06/21/2023
STANTON, ROBERT PAGE Supervising Prescribing Practitioner Medical Doctor 34503 06/21/2023
STINSON, ZACHARY SULLIVAN Supervising Prescribing Practitioner Medical Doctor 134381 06/21/2023

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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 11/22/2024



* 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.