| | Physician Last Name: | Khasak |
| | Physician First Name: | Dmitry |
| | Physician Middle Name: | Y. |
| | Address: | Address redacted |
| | License Number: | 194054 |
| | License Type: | MD |
| | Year of Birth: |
1967
|
| | Effective Date: | 06/14/2018 |
| | Action Description for DOH Webpage: | Censure and reprimand and $2,500 fine. The physician paid the fine on June 14, 2018. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having committed professional misconduct by having been disciplined by the New Jersey State Board of Medical Examiners for failing to prepare an adequate patient medical record; failing to complete required continuing medical educations credits for the 2009-2011 biennial registration cycle and misrepresenting on his 2011 registration form that he had completed medical education credits. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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