| | Physician Last Name: | Rothbaum |
| | Physician First Name: | Jerome |
| | Physician Middle Name: | |
| | Address: | Address Redacted. |
| | License Number: | 083225 |
| | License Type: | MD |
| | Year of Birth: |
1931
|
| | Effective Date: | 07/20/2016 |
| | Action Description for DOH Webpage: | The physician must provide ninety days advanced written notice to the Director of the Office of Professional Medical Conduct before practicing medicine in New York State or in any other jurisdiction where the practice of medicine is predicated on his New York State medical license after which his practice may be subject to further conditions. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms of BPMC Order #02-358 previously imposed by the New York State Board for Professional Medical Conduct on November 27, 2002 and does not constitute a new disciplinary action. Previously the physician had not contested the charge of having been disciplined by the Arizona State Board of Medical Examiners for failing to maintain adequate records; conduct or practice which may be harmful to the health of a patient and negligence. |
| | License Limitations or Conditions for DOH Webpage: | The physician must provide ninety days advanced written notice to the Director of the Office of Professional Medical Conduct before practicing medicine in New York State or in any other jurisdiction where the practice of medicine is predicated on his New York State medical license after which his practice may be subject to further conditions. |
| | Board Order: |
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