| Physician Search By Physician By License Number By License Type By Effective Date | ||
Physician Information | ||
| Physician Name: | James Dagostino, MD | |
| Address: | Prey Sar Prison Kom Reang Village Sangkat Prey Veng Khan Dang Kor Phnom Penh, Cambodia | |
| License Number: | 189886 | |
| License Type: | MD | |
| Year of Birth: | 1954 | |
| Effective Date: | 11/16/2012 | |
| Action: | License suspension until the physician complies with this order. | |
| Misconduct Description: | The Hearing Committee sustained the charge finding the physician guilty of having been convicted in the Kingdom of Cambodia, Phnom Penh Preliminary Court of child prostitution and exploitation. | |
| License Restrictions: | ||
| Board Order: |
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