| | Physician Last Name: | Pellin |
| | Physician First Name: | Juan |
| | Physician Middle Name: | Carlos |
| | Address: | Address redacted |
| | License Number: | 119604 |
| | License Type: | MD |
| | Year of Birth: |
1937
|
| | Effective Date: | 01/05/2009 |
| | Action Description for DOH Webpage: | The physician has agreed to never activate his New York State license registration or reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms of order BPMC #01-291and does not constitute a new disciplinary action. Previously the physician did not contest the charges of negligence on more than one occasion and failure to maintain accurate records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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