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:002447
 License Type:PA
 Year of Birth: 1951
 Effective Date:02/12/2020
 Action Description for DOH Webpage:License revocation. Both parties may request a review of the Hearing Committee’s Determination and Order.
 Misconduct Description for DOH Webpage:The Hearing Committee sustained the charges finding the physician assistant guilty of having committed professional misconduct by having been disciplined by the Physician Assistant Board of California for having been convicted of Driving with a BAC of .08 or Greater on two separate occasions.
  License Restrictions for DOH Webpage:
 Board Order:
CHRG 002447.pdf
HRG 002447.pdf