| Physician Last Name: | Altadonna |
| Physician First Name: | Phyllis |
| Physician Middle Name: | |
| Address: | Address redacted |
| License Number: | 009880 |
| License Type: | PA |
| Year of Birth: |
1975
|
| Effective Date: | 05/13/2011 |
| Action Description for DOH Webpage: | License suspension for two years, stayed with probation for three years. The physician assistant is prohibited from self-treating for any conditions and self-prescribing any medications |
| Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of fraudulent practice due to prescribing controlled substances for her own use. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
|