| Physician Last Name: | Jackson |
| Physician First Name: | Mark |
| Physician Middle Name: | H. |
| Address: | Address redacted |
| License Number: | 181595 |
| License Type: | MD |
| Year of Birth: |
1959
|
| Effective Date: | 10/13/2003 |
| Action Description for DOH Webpage: | License surrender, stayed with probation for five years.The physician completed the term of probation on March 16, 2009. Later on November 1, 2018 the physician was subject to an Interim Non-Disciplinary Order of Conditions and on March 6, 2020 he surrendered his New York State medical license. |
| Misconduct Description for DOH Webpage: | The New York State Board of Regents stayed with probation for five years the August 27, 1997 surrender of the physician's New York State medical license.Previously the physician did not contest the charges of engaging in conduct which evidences moral unfitness and practicing the profession fraudulently by writing prescriptions for controlled substances other than in the good faith practice of medicine. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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