License Verification

Printer Friendly Version

DAVID JEROME KOSIOREK

License Number: PA9101567

Data As Of 5/10/2025

Profession
Physician Assistant
License
PA9101567
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/13/2001
Address of Record
781 County Road 466
LADY LAKE, FL 32159
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4051 W Upper Creek Drive Suite 106
SUN CITY CENTER, FL 33573
Address
304 N Main Street
CHIEFLAND, FL 32126
Address
14310 N Dale Mabry Hwy Suite 180
TAMPA, 33618
Address
500 Vonderberg Drive Suite 212 West
BRANDON, FL 33511
Address
5105 Manatee Avenue West Suite 12
BRADENTON, FL 34209
Address
222 N Street West
BARTOW, FL 33830
Address
2750 SE 17th Street
OCALA, FL 34471
Name Relationship Profession License Effective Date
COTTAM, JOHN A Supervising Prescribing Practitioner Medical Doctor 72051 03/01/2025
FREEMAN, MICHAEL J MD Supervising Prescribing Practitioner Medical Doctor 27682 02/03/2011

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 5/10/2025



* 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.