| Physician Last Name: | Stalgren |
| Physician First Name: | Glenn |
| Physician Middle Name: | J |
| Address: | 360 Vly Road Extention
Niskayuna, New York 12309 |
| License Number: | None |
| License Type: | MD |
| Year of Birth: |
1971
|
| Effective Date: | 07/12/2005 |
| Action Description for DOH Webpage: | The physician agreed that his right to apply for medical licensure and his right to enter a medical residency in New York State will be indefinitely suspended for at least six months and until a modification order is issued staying the suspension.Previously on April 16, 2004 the physician agreed to not engage in the practice of medicine in the State of New York or any other State pending the final disposition of the currently open investigation of allegations of misconduct. |
| Misconduct Description for DOH Webpage: | The physician admitted guilt to the charges of being a habitual abuser of narcotics; practicing fraudulently and filing a false report. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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