| | Physician Last Name: | Smith |
| | Physician First Name: | Christine |
| | Physician Middle Name: | E |
| | Address: | Address redacted |
| | License Number: | 204665 |
| | License Type: | MD |
| | Year of Birth: |
1965
|
| | Effective Date: | 05/17/2013 |
| | Action Description for DOH Webpage: | Permanent surrender of the physician's New York State medical license issued pursuant to New York State Public Health Law Section 230.13. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
