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Physician Last Name: | Hostetler | |||
Physician First Name: | Mark | |||
Physician Middle Name: | A | |||
Address: | Address redacted | |||
License Number: | 207282 | |||
License Type: | MD | |||
Year of Birth: | 1954 | |||
Effective Date: | 11/10/2015 | |||
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 Arizona State Medical Board for allegations of being an habitual abuser of alcohol. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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