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Physician Last Name: | Ordoqui | |||
Physician First Name: | Modesto | |||
Physician Middle Name: | V | |||
Address: | #615571 Holmes Work Camp B1126L 3182 Thomas Drive Bonifay, Florida 32425 | |||
License Number: | 000582 | |||
License Type: | PA | |||
Year of Birth: | 1951 | |||
Effective Date: | 08/23/2001 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician assistant did not contest the charges of having been convicted in the Fourth Judicial Circuit Court, Jacksonville, Florida of sale of unlisted drugs; disciplined by the Florida State Board of Medicine and the Pennsylvania State Board of Medicine. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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