| | Physician Last Name: | Tibayan |
| | Physician First Name: | Fernando |
| | Physician Middle Name: | N |
| | Address: | East Range Clinics
Ltd
910 North Sixth Street
Virginia, Minnesota 55792 |
| | License Number: | 115479 |
| | License Type: | MD |
| | Year of Birth: |
1940
|
| | Effective Date: | 06/11/2001 |
| | Action Description for DOH Webpage: | License suspension until all conditions of the order issued by the Minnesota State Board of Medical Practice have been satisfied and an order vacating the suspension is issued by the N.Y.S. Board for Professional Medical Conduct. The physician had satisfied the terms of the Order on November 4, 2004.. |
| | Misconduct Description for DOH Webpage: | The Hearing Committee found the physician guilty of having been disciplined by the Minnesota State Board of Medical Practice for incompetence; departures from minimal standards of medical practice and inadequate medical record keeping. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
