| | Physician Last Name: | Tan Domingo |
| | Physician First Name: | Josefina |
| | Physician Middle Name: | |
| | Address: | 7785 North State Street
Lowville, New York 13367 |
| | License Number: | 115469 |
| | License Type: | MD |
| | Year of Birth: |
1942
|
| | Effective Date: | 06/27/2008 |
| | Action Description for DOH Webpage: | License suspension for five years, stayed with probation for five years and the successful completion of a Med-Challenger OB-GYN Comprehensive Review and Assessment Course. The physician completed the terms of her order effective June 25, 2013. |
| | Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of negligence on more than one occasion. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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