| | Physician Last Name: | Waltner |
| | Physician First Name: | Nancy |
| | Physician Middle Name: | Madeleine |
| | Address: | 11 North Airmont Road
Suffern, New York |
| | License Number: | 159723 |
| | License Type: | MD |
| | Year of Birth: |
1955
|
| | Effective Date: | 05/04/2007 |
| | Action Description for DOH Webpage: | Temporary surrender of medical license issued pursuant to New York State Public Health Law Section 230 (13) |
| | Misconduct Description for DOH Webpage: | This action and change in license status is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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