| | Physician Last Name: | Davis |
| | Physician First Name: | Thomas |
| | Physician Middle Name: | V |
| | Address: | 1650 Cochrane Circle
Ft. Carson, CO 80913 |
| | License Number: | 012371 |
| | License Type: | PA |
| | Year of Birth: |
1972
|
| | Effective Date: | 03/12/2012 |
| | Action Description for DOH Webpage: | Censure and reprimand with probation for five years and $5,000 fine. The physician assistant must provide ninety (90) days notice before practicing medicine in New York State or in any other jurisdiction where the practice of medicine is predicated on his New York State medical license after which his practice may be subject to conditions |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charges of having been convicted in the Manchester Town Court, New York in 2008 of driving while intoxicated and also in both the El Paso County Court and Arapahoe County Court of Colorado of driving under the influence. |
| | License Limitations or Conditions for DOH Webpage: | The physician assistant may practice medicine only when his practice is being supervised by a licensed physician in an appropriate specialty and he is being monitored by qualified health care profsesional monitors. The physician assistant must provide ninety (90) days notice before practicing medicine in New York State or in any other jurisdiction where the practice of medicine is predicated on his New York State medical license after which his practice may be subject to conditions |
| | Board Order: |
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