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Physician Last Name: | Coughlan | |||
Physician First Name: | John | |||
Physician Middle Name: | F | |||
Address: | 1200 Coral Lane Englewood, Florida 34224 | |||
License Number: | 001500 | |||
License Type: | PA | |||
Year of Birth: | 1955 | |||
Effective Date: | 03/04/2003 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having been convicted in Circuit Court, Punta Gorda,Charlotte County, Florida of driving while his license was suspended. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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