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This document is a formal order from the New York State Board for Professional Medical Conduct regarding the surrender of a medical license by Dr. Michael Kalisman, outlining the circumstances and

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What is 21424728 form?

The 21424728 form is a document used for reporting specific information to the appropriate authority.

Who is required to file 21424728 form?

The individuals or entities specified by the authority are required to file the 21424728 form.

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To fill out the 21424728 form, you need to provide the required information in the designated fields.

What is the purpose of 21424728 form?

The purpose of the 21424728 form is to collect and document specific information for regulatory or administrative purposes.

What information must be reported on 21424728 form?

The specific information that must be reported on the 21424728 form will be outlined by the authority.

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