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Physician Last Name:

Klein

Physician First Name:

Jacob

Physician Middle Name:

Address:

Auburn Correctional Facility, P.O. Box 618, Auburn, New York 13021

License Number:

019141

License Type:

Year of Birth:

1981

Effective Date:

01/26/2024

Action Description for DOH Webpage:

License revocation.

Misconduct Description for DOH Webpage:

The Hearing Committee by a vote of 2 to 0, sustained the charges finding the physician assistant committed professional misconduct by having been convicted in the State of New York, Albany County Court, of Murder in the Second Degree, a felony. Previously on October 26, 2023, the physician assistant’s New York State physician assistant’s license was suspended by the New York State Commissioner of Health.

License Limitations or Conditions for DOH Webpage:

Board Order:

	CHRG 019141.pdf
	CHRG 019141 soc.pdf
	HRG 019141.pdf

Department of Health

Physician Information