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Physician Last Name: | Gerasimov | |
Physician First Name: | Madina | |
Physician Middle Name: | ||
Address: | Address redacted | |
License Number: | 259818 | |
License Type: | MD | |
Year of Birth: | 1965 | |
Effective Date: | 06/30/2022 | |
Action Description for DOH Webpage: | Order of conditions for two years. | |
Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. | |
License Limitations or Conditions for DOH Webpage: | Order of conditions for two years. | |
Board Order: |
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