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:004175
 License Type:PA
 Year of Birth: 1966
 Effective Date:01/30/2018
 Action Description for DOH Webpage:Censure and reprimand and $5,000 fine. The physician assistant is also placed on probation for two years with conditions. The physician assistant has paid the fine and the period of probation has ended December 19, 2019.
 Misconduct Description for DOH Webpage:The physician assistant did not contest the charge of having committed professional misconduct by having been disciplined by the State of New Jersey, Department of Law & Public Safety, Division of Consumer Affairs, State Board of Medical Examiners for having offered to practice or for having practiced medicine without a valid medical license.
  License Restrictions for DOH Webpage:
 Board Order:
CHRG 004175.pdf
BRD 004175.pdf