
Physician Information
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Physician Last Name: | O'Donnell | |||
Physician First Name: | John | |||
Physician Middle Name: | ||||
Address: | 4963 South Eagle Village Manlius, New York 13104 | |||
License Number: | 090048 | |||
License Type: | MD | |||
Year of Birth: | ||||
Effective Date: | 08/07/1997 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of failing to maintain accurate patient records. | |||
License Restrictions for DOH Webpage: | ||||
Board Order: |
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