Physician Misconduct and Physician Discipline

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 Physician Last Name:Wagner
 Physician First Name:Jack
 Physician Middle Name:
 Address:37 Wilputte Place New Rochelle, New York 10804
 License Number:090773
 License Type:MD
 Year of Birth: 1937
 Effective Date:04/27/2000
 Action Description for DOH Webpage:License permanently limitation precluding the practice of medicine and prohibiting the physician from serving as a medical director of any medical facility
 Misconduct Description for DOH Webpage:The physician did not contest the charge of negligence on more than one occasion
  License Limitations or Conditions for DOH Webpage: The physician's license is permanently limited precluding any practice of medicine and prohibiting the physician from serving as a medical director for any medical facility.
 Board Order:
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lc090773.pdf