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Physician Records |
Physician Last Name: | Novak | |||||
Physician First Name: | Mark | |||||
Physician Middle Name: | H | |||||
Address: | Address redacted | |||||
License Number: | 003852 | |||||
License Type: | PA | |||||
Year of Birth: | 1955 | |||||
Effective Date: | 02/11/2016 | |||||
Action Description for DOH Webpage: | License revocation. | |||||
Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician assistant guilty of having been convicted in the Auburn City Court, Cayuga County, New York and the Camillus Town Court, Onondaga County, New York of aggravated driving while intoxicated. | |||||
License Limitations or Conditions for DOH Webpage: | ||||||
Board Order: |
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