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Physician Records |
Physician Last Name: | Mustafa | |||||
Physician First Name: | Ghulam | |||||
Physician Middle Name: | ||||||
Address: | 210 Main Street Albion, NY 14411 | |||||
License Number: | 247638 | |||||
License Type: | MD | |||||
Year of Birth: | 1963 | |||||
Effective Date: | 08/15/2012 | |||||
Action Description for DOH Webpage: | License revocation. | |||||
Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges finding the physician guilty of having been convicted in the County Court of the State of New York, Orleans County of grand larceny and also convicted in the United States District Court, Western District of New York of making a false statement relating to a health care matter. Previously on April 27, 2012 the physician's medical license was summarily suspended by the New York State Commissioner of Health. | |||||
License Limitations or Conditions for DOH Webpage: | ||||||
Board Order: |
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