| Physician Search | ||
| Physician Records |
| Physician Last Name: | Blank | |||
| Physician First Name: | Louis | |||
| Physician Middle Name: | ||||
| Address: | 32 Briarfield Lane Huntington, New York 11743 | |||
| License Number: | 170736 | |||
| License Type: | MD | |||
| Year of Birth: | ||||
| Effective Date: | 03/21/1996 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of engaging in conduct during the practice of medicine which evidences moral unfitness. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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