| | Physician Last Name: | Jacobson |
| | Physician First Name: | Clifford |
| | Physician Middle Name: | Robert |
| | Address: | 5261 West Lake Road
Rochester, New York 14654 |
| | License Number: | 135796 |
| | License Type: | MD |
| | Year of Birth: |
1950
|
| | Effective Date: | 10/17/2002 |
| | Action Description for DOH Webpage: | License suspension for five years, stayed with probation commencing upon the active practice of medicine in New York State for five years. The physician completed the terms of his order effective April 2, 2012.Later on March 11, 2013 the physician's license was suspended which was stayed with probation. Then on March 7, 2017 the physician's New York State medical license shall be limited that precludes the prescribing of controlled substances through March 31, 2017 and requires the physician to maintain a prescription log of all medications to be submitted weekly to the Office of Professional Medical Conduct. Effective March 31, 2017 the physician?s New York State medical license was surrendered. |
| | Misconduct Description for DOH Webpage: | The Review Board sustained the Hearing Committee's June 14, 2002 determination finding the physician guilty of having been convicted in United States District Court, Western District of New York of Mail Fraud.The Review Board modified the Hearing Committee's penalty . |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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