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:001618
 License Type:PA
 Year of Birth: 1957
 Effective Date:12/18/2019
 Action Description for DOH Webpage:PLEASE BE ADVISED that a hearing on the published charges has not yet been conducted, or if a hearing has been conducted a decision has not yet been issued. PLEASE NOTE that at this time the charges only constitute allegations and a licensee, including a physician, physician assistant or special assistant, may challenge the charges at an administrative hearing.
 Misconduct Description for DOH Webpage:
  License Restrictions for DOH Webpage:
 Board Order:
CHRG 001618.pdf