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Physician Last Name: | Bertolino | |||
Physician First Name: | Jack | |||
Physician Middle Name: | ||||
Address: | Address Redacted | |||
License Number: | 180670 | |||
License Type: | MD | |||
Year of Birth: | 1955 | |||
Effective Date: | 10/03/2012 | |||
Action Description for DOH Webpage: | Order of Conditions for two years. The physician completed the terms of his order effective October 2, 2014. | |||
Misconduct Description for DOH Webpage: | This action is not disciplinary in nature | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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