| Physician Search | ||
| Physician Records |
| Physician Last Name: | Kelley | |||
| Physician First Name: | Shannon | |||
| Physician Middle Name: | T | |||
| Address: | 209 Stasko Drive Syracuse, New York 13209 | |||
| License Number: | 003782 | |||
| License Type: | PA | |||
| Year of Birth: | ||||
| Effective Date: | 10/07/1996 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician assistant did not contest the charges of gross negligence and incompetence; negligence and incompetence on more than one occasion; fraudulent statements on hospital and license applications, moral unfitness and failing to maintain adequate patient records. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
|
