Physician Misconduct and Physician Discipline

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 Physician Last Name:Jacobson
 Physician First Name:Clifford
 Physician Middle Name:R
 Address:1655 Elmwood Avenue Suite 227 Rochester, NY 14620
 License Number:135796
 License Type:MD
 Year of Birth: 1950
 Effective Date:03/11/2013
 Action Description for DOH Webpage:License suspension for thirty-six months, stayed with probation for thirty-six months and $10,000 fine The physician is permanently prohibited from the practice of pain management and the treatment of attention deficit disorder and is prohibited from prescribing Schedule II opiates and Buprenorphine and Naloxone. The physician shall also maintain a prescription log which identifies every patient receiving a controlled substance and implement a psychiatric electronic medical record and ICANotes. Later on March 7, 2017 the physician's New York State medical licnese shall be limited that precludes the prescribing of controlled substances through March 31, 2017 and requires the physician to maintain a prescription log of all medications to be submitted weekly to the Office of Professional Medical Conduct. Effective March 31, 2017 the physician?s New York State medical license was surrendered.
 Misconduct Description for DOH Webpage:The physician did not contest the charge of negligence on more than one occasion.
  License Limitations or Conditions for DOH Webpage:
 Board Order:
doc
BRD 135796.pdf