License Verification

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KALIE MARIE KOSEK

License Number: PA9108019

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9108019
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/26/2014
Address of Record
1370 E VENICE AVE
CENTER FOR SIGHT, PL
VENICE, FL 34285-9066
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2601 S Tamiami Trail CENTER FOR SIGHT, PL
SARASOTA, FL 34239-4504
Address
5409 University Parkway CENTER FOR SIGHT, PL
UNIVERSITY PARK, FL 34201
Address
1800 S. McCall Rd CENTER FOR SIGHT, PL
ENGLEWOOD, FL 34223-4958
Address
14844 Tamiami Trail CENTER FOR SIGHT, PL
NORTH PORT, FL 34287-2701
Address
8224 S Tamiami Trail
SARASOTA, FL 34238
Name Relationship Profession License Effective Date
FEZZA, JOHN PAUL Supervising Dispensing Practitioner Medical Doctor 76288 01/06/2017
FEZZA, JOHN PAUL Supervising Prescribing Practitioner Medical Doctor 76288 09/15/2016

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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 12/23/2024



* 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.