| | Physician Last Name: | Hazboun |
| | Physician First Name: | Shafiq |
| | Physician Middle Name: | B |
| | Address: | 414 South Fourth Street
Fulton, New York 13069 |
| | License Number: | 122485 |
| | License Type: | MD |
| | Year of Birth: |
1932
|
| | Effective Date: | 05/19/2000 |
| | Action Description for DOH Webpage: | License revocation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges of gross negligence; negligence on more than one occasion and failing to maintain accurate patient records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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