| | Physician Last Name: | Wiersum |
| | Physician First Name: | Jeffrey |
| | Physician Middle Name: | |
| | Address: | 713 East Genesee Street, Suite 311
Syracuse, New York 13210 |
| | License Number: | 074392 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 05/18/1994 |
| | Action Description for DOH Webpage: | License revocation |
| | Misconduct Description for DOH Webpage: | The Review Board sustained the Hearing Committee's December 27, 1993 penalty and determination finding the physician guilty of negligence on more than one occasion; gross incompetence; failure to maintain adequate records; violating Article 33 of the New York State Public Health Law, and violating the previously imposed terms of probation . |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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