Physician Misconduct and Physician Discipline

Physician Information

Physician Information

Physician Search
Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:Address redacted
 License Number:205472
 License Type:MD
 Year of Birth: 1962
 Effective Date:03/27/2015
 Action Description for DOH Webpage:Non-disciplinary order of conditions which precludes the practice of medicine other than in the State of New Hampshire. Upon compliance with the conditions of this order, the physician may petition for a modification order staying the preclusion. The modification order may include limitations or further conditions concerning his practice of medicine. This action supersedes the temporary surrender which was imposed May 19, 2004.
 Misconduct Description for DOH Webpage:This action is not disciplinary in nature.
  License Restrictions for DOH Webpage:
 Board Order: