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| Physician Records |
| Physician Last Name: | Johnson | |||
| Physician First Name: | Laurie | |||
| Physician Middle Name: | E | |||
| Address: | 1300 Raonoke Avenue Riverhead, NY 11901 | |||
| License Number: | 011443 | |||
| License Type: | PA | |||
| Year of Birth: | 1980 | |||
| Effective Date: | 08/15/2012 | |||
| Action Description for DOH Webpage: | Censure and reprimand | |||
| Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having been convicted in the Quogue Village Justice Court, Suffolk County, New York of driving while intoxicated. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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