| Physician Search | ||
| Physician Records |
| Physician Last Name: | Jacobson | |||
| Physician First Name: | Clifford | |||
| Physician Middle Name: | ||||
| Address: | Address redacted | |||
| License Number: | 135796 | |||
| License Type: | MD | |||
| Year of Birth: | 1950 | |||
| Effective Date: | 03/07/2017 | |||
| Action Description for DOH Webpage: | License limitation that precludes the prescribing of controlled substances through March 31, 2017 and requires the physician to maintain a prescription log of all medications to be submitted weekly to the Office of Professional Medical Conduct. Effective March 31, 2017 the physician’s New York State medical license will be surrendered. | |||
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having committed professional misconduct by practicing the profession of medicine with negligence on more than one occasion. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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