Physician Misconduct and Physician Discipline

Physician Information

Physician Information

Physician Search
Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:

 Address:Address redacted
 License Number:020699
 License Type:PA
 Year of Birth: 1952
 Effective Date:10/13/2017
 Action Description for DOH Webpage:License surrender.
 Misconduct Description for DOH Webpage:The physician assistant did not contest the charge of having committed professional misconduct by having been disciplined by the Minnesota State Board of Medical Practice for failing to conform to minimum standards of practice; failing to maintain adequate medical records and inappropriate prescribing practices.
  License Restrictions for DOH Webpage:
 Board Order:
BRD 020699.pdf