| | Physician Last Name: | Czerepak |
| | Physician First Name: | Jan |
| | Physician Middle Name: | F. |
| | Address: | Address redacted |
| | License Number: | 232196 |
| | License Type: | DO |
| | Year of Birth: |
1968
|
| | Effective Date: | 01/11/2023 |
| | Action Description for DOH Webpage: | License surrender. This modification order permits the physician to surrender their New York State medical license and precludes their practice of medicine in New York State. This modification order is a substitute for so much of the remaining penalty set forth in the Original order and releases the physician from the registration requirement with the New York State Education Department and payment of fees. All remaining terms and conditions of the Original order remain in effect. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms and conditions previously imposed under BPMC order #07-131 that went into effect on July 3, 2007 and does not constitute a new disciplinary action. The physician did not contest the charge of having been disciplined by the New Jersey State Board of Medical Examiners for a relapse concerning their abuse of alcohol. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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