| Physician Last Name: | Custis |
| Physician First Name: | Kevin |
| Physician Middle Name: | |
| Address: | 7445 County House Road,
Auburn, New York 13021 |
| License Number: | 211807 |
| License Type: | MD |
| Year of Birth: |
1964
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| Effective Date: | 07/14/2020 |
| Action Description for DOH Webpage: | License surrender.
Previously on November 22, 2018 the physician had been subject to an Interim Non-Disciplinary Order of Conditions precluding him from the practice of medicine. |
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having committed professional misconduct by having been convicted in the New York Supreme
Court - Kings County Criminal Part of Enterprise Corruption (one count); Scheme to Defraud in the First Degree (one count); Grand Larceny in the First Degree (two counts) and Health Care Fraud in the First Degree (three counts). The physician was also convicted in the United States District Court for the District of New Jersey of Unlawful Distribution of Anabolic Steroids (one count) and Possession with Intent to Distribute Marihuana (one count).
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| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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