| Physician Last Name: | Dahl |
| Physician First Name: | Kristina |
| Physician Middle Name: | |
| Address: | 19 Portland Place
Montclair, New Jersey 07042 |
| License Number: | 173850 |
| License Type: | MD |
| Year of Birth: |
1953
|
| Effective Date: | 12/28/1998 |
| Action Description for DOH Webpage: | License revocation |
| Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician was found guilty in a New York State Department of Social Services administrative hearing proceeding of violating various State regulations. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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