| Physician Search | ||
| Physician Records |
| Physician Last Name: | Visconte-Larosa | |||
| Physician First Name: | Sandra | |||
| Physician Middle Name: | A. | |||
| Address: | Address redacted | |||
| License Number: | 003094 | |||
| License Type: | PA | |||
| Year of Birth: | 1962 | |||
| Effective Date: | 08/29/2019 | |||
| 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 violated a term of probation and for being a habitual abuser of alcohol. The physician assistant also did not contest the charge of having committed professional misconduct by having been convicted on June 30, 2019 in Wayne County Court, New York State of Felony Driving While Intoxicated. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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