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LICENSE # 0101031919

Issue Date: 4/17/1980
Expiration Date: 3/31/2020
Status: Current Active

General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.

Felony Conviction Information
Last Updated 2/8/2016
View the section of the Virginia Code that describes convictions

Date of Conviction: 11/8/1995
Were you convicted in the US of a federal or state offense? Federal
Conviction Code: 26 USC Section 7206(1)
Written Description of Offense:
Filing False Tax Returns
Location of Conviction:
Norfolk, VA USA
Type of Sentence received: Active supervised probation
Date of Sentencing: 4/12/1996
Suspended Sentence: 0 Year(s) and 0 Month(s)
Sentence Served: 5 Year(s) and 0 Month(s)
Virginia Board of Medicine Notices and Orders
Verified by Board
Click Here to view Practitioner's Virginia Notices and Orders
Actions Taken by States/Organizations Other than the Virginia Board of Medicine
Last Updated 2/8/2016
Practitioner has had a disciplinary action taken by a professional licensing board in a state other than Virginia, or by a federal health institution, federal agency, or the voluntary surrender of a license in a state other than Virginia while under investigation
Date: 2001
Entity Taking Action: NY Licensing Board
Action Taken: Suspension/Inactive License (never practiced in NY)

Practitioner has had an action taken by healthcare institutions, other practitioners, insurance companies, health maintenance organizations or professional organizations that resulted in a suspension or revocation of privileges or the termination of employment
Date: 1982
Entity Taking Action: Maryview Hospital
Action Taken: Suspension of Privileges
Date: 1996
Entity Taking Action: Blue Cross Blue Shield
Action Taken: Suspension then Reinstatement/Result of VA BOM Action: All HMS/3rd party payors (except federally funded programs)