| Physician Last Name: | Jackson |
| Physician First Name: | Bertram |
| Physician Middle Name: | V |
| Address: | 782 Hendrix Street
Brooklyn, New York 11207 |
| License Number: | 000357 |
| License Type: | PA |
| Year of Birth: |
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| Effective Date: | 06/22/1990 |
| Action Description for DOH Webpage: | The New York State Board of Regents stayed the revocation of the physician assistant's medical license and placed him on probation for two years.The physician's assistant's medical license was previously revoked June 24, 1987.The physician assistant has satisfied the terms of the order. |
| Misconduct Description for DOH Webpage: | The New York State Board of Regents on June 24, 1987 sustained the charges finding the physician assistant guilty of practicing fraudulently and having been convicted of fraudulently obtaining a diploma purporting to authorize the practice of medicine. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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