Physician Misconduct and Physician Discipline

Physician Information

Physician Information

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Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:

 Address:26 Sand Dollar Lane Mashpee, Massachusetts 02649
 License Number:132264
 License Type:MD
 Year of Birth: 1949
 Effective Date:07/07/1998
 Action Description for DOH Webpage:License surrender
 Misconduct Description for DOH Webpage:The physician did not contest the charge of having been disciplined by the Massachusetts State Board of Registration in Medicine for being an habitual user and practicing while his ability was impaired by drugs and/or alcohol and engaging in fraudulent conduct.
  License Restrictions for DOH Webpage:
 Board Order: