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Physician Last Name: | Hanover | |||
Physician First Name: | Justin | |||
Physician Middle Name: | Sean | |||
Address: | Address redacted | |||
License Number: | 245812 | |||
License Type: | MD | |||
Year of Birth: | 1977 | |||
Effective Date: | 10/17/2013 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the California State Medical Board for being unable to practice medicine safely due to chemical dependence and illicitly obtaining and diverting narcotics for his own use | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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