Physician Misconduct and Physician Discipline

Physician Information

Physician Information

Physician Search
Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:

 Address:Address redacted
 License Number:204725
 License Type:MD
 Year of Birth: 1959
 Effective Date:01/26/2018
 Action Description for DOH Webpage:The previously published statement of charges are withdrawn without prejudice effective January 26, 2018.
 Misconduct Description for DOH Webpage:.
  License Restrictions for DOH Webpage:
 Board Order: