Disciplinary Action

The following information was retrieved from the Department's database at 12/4/2022 7:03:27 PM. The information presented reflects the database records at the time of your inquiry; however, it will not reflect pending updates which are being processed by the Department.
Order Details
Name
PHISTRY III, SAMUEL
Respondent Type
Licensed Individual
License Number
File Number
17F-DI-014
Order Type
Consent Order
Reason
Conviction(s)
Order Date
7/19/2016
Dispositions
Practice Monitor
Provisional License - 2 years
Order Document

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