| | Physician Last Name: | Dougherty |
| | Physician First Name: | Douglas |
| | Physician Middle Name: | Andrew |
| | Address: | Address redacted |
| | License Number: | 259346 |
| | License Type: | MD |
| | Year of Birth: |
1967
|
| | Effective Date: | 06/08/2022 |
| | Action Description for DOH Webpage: | This modification order permits the physician to surrender their New York State medical license and precludes the practice of medicine in New York State. The surrender is a substitute for so much of the remaining penalty of the Original Board Order and releases the physician from the registration requirement with the New York State Education Department. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms and conditions previously imposed under BPMC Order #21-100 that went into effect on May 24, 2021 and does not constitute a new disciplinary action. The physician did not contest the charge of committing professional misconduct by having been convicted in the Currituck County Court, North Carolina, of Driving While Impaired, a misdemeanor and for having been disciplined by the North Carolina Medical Board for their inability to practice with reasonable skill and safety when abusing substances. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
