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Physician Records |
Physician Last Name: | Livingston | |||||
Physician First Name: | Charles | |||||
Physician Middle Name: | M | |||||
Address: | Address Redacted | |||||
License Number: | 004586 | |||||
License Type: | PA | |||||
Year of Birth: | 1955 | |||||
Effective Date: | 10/12/2012 | |||||
Action Description for DOH Webpage: | License surrender | |||||
Misconduct Description for DOH Webpage: | The physician assistant did not contest the charges of having been convicted in the Erie County Court, Orleans County, New York and the Wyoming County Court, Wyoming County, New York of the criminal sale of a prescription for a controlled substance. Previously on September 13, 2012 the physician's New York State 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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