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Physician Last Name: | Tyner | |
Physician First Name: | James | |
Physician Middle Name: | R | |
Address: | 4 Coulter Road Clifton Springs, NY 14432 | |
License Number: | 106786 | |
License Type: | MD | |
Year of Birth: | 1942 | |
Effective Date: | 06/01/2015 | |
Action Description for DOH Webpage: | Permanent license surrender 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: |
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