Common Contracts
1 similar Voluntary Surrender Agreement contracts
SUFFOLK COUNTY BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS In the Matter of Joseph J. Bartoszek, Jr., PA-C Docket No. PA-2011-001 License No. PA1347 (License Expiration Date 3/1/13) VOLUNTARY SURRENDER AGREEMENTVoluntary Surrender Agreement • March 8th, 2022
The Board of Registration of Physician Assistants ("Board") and Joseph J. Bartoszek, Jr. (“Licensee”), a Physician Assistant licensed by the Board, License No. PA1347, do hereby stipulate and agree to enter into this Voluntary Surrender Agreement ("Agreement") in resolution of a complaint identified as Docket No. PA-2011-001 (“Complaint”). The complaint is based on the Licensee's disclosure on his 2011 license renewal application that his Connecticut Physician Assistant license had been disciplined in 2011 and on the information obtained by the Board during the Complaint investigation.
