| | Physician Last Name: | Bristol |
| | Physician First Name: | Marcel |
| | Physician Middle Name: | |
| | Address: | Wyoming Correctional Facility
Box 501
Attica, NY 14011 |
| | License Number: | 002892 |
| | License Type: | PA |
| | Year of Birth: |
|
| | Effective Date: | 09/02/1994 |
| | Action Description for DOH Webpage: | Revocation of registration |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician assistant guilty of having been convicted in New York State Supreme Court,Kings County of Grand Larceny;Forgery;Criminal Possession of a Forged Instrument and Criminal Impersonation. |
| | License Restrictions for DOH Webpage: | |
| | Board Order: |
|
