RESULTS OF THE MEETING

BOARD OF MEDICAL LICENSURE AND SUPERVISION

September 20, 2007

 

Applications for Licensure

Full medical licenses granted:


Nicolas J. Andrews

Salvatore Peter Calabro

John Anthony Califano

Marcia Elaine Orr Eustaquio

Stephanie Jayne Toth

David Paul Vogel

Sammy Zakhary


 

Special training medical licenses granted:


Nishant Paudel

Min Zhong


 

Medical licenses reinstated

Lori Hansen, MD – Reinstated under terms of indefinite probation

 

Volunteer medical license granted

Kemal E. Kutait

 

Applications granted under terms of Agreement

Skye Howell, RCP

 

Medical license applications tabled:


Abdul K. Akhand

Faisal Albanna

Dennis K. Bielecki

Edward Esparza (reinstatement)

Richard L Pentecost (reinstatement)


 

Medical license applications denied:

David Charles Vajnar

 

Ratified

Applications approved on circularization and issued by the Board Secretary since July 19, 2007:

AAT - Apprentice Athletic Trainer


414 Wilson, Stacy Renee                 07/26/2007

435 Rkaifie, Stacy Abena                  09/11/2007


AT - Licensed Athletic Trainer


493 Walker, William Leander      09/11/2007

494 Hammers, Lee Alvin             09/11/2007

495 Thiessen, Sarah Gail                  09/11/2007

496 Kersey, Landon Wade                09/11/2007

499 Paulk, Casey Reece                  09/11/2007

500 Downing, Alice Kathryn              09/11/2007

501 Sunderland, John Edwin             09/11/2007

502 Demetriadis, Constantine           09/11/2007

503 Bronson, Michael Lee                 09/11/2007

504 Brooks, Jessica Lynn                 09/11/2007

505 Streu, Jessica Sara                    09/11/2007

506 Schinnerer, Daniel Keith             09/11/2007

508 Kromer, Christopher Douglas      09/11/2007

509 Musgrove, Jenna Lee                 09/11/2007

510 Martin, Kathleen Elizabeth          09/11/2007


MD - Medical Doctor


24454   Pappy, Raji Mathew             08/14/2007

24457   Malik, Sanober                    09/11/2007

24478   Cross, Cory Damon        08/14/2007

24487   Dasari, Tarun Watson           09/11/2007

24498   Borden, Amber Massey        09/11/2007

24513   Tufail, Humayun                   09/11/2007

24556   Habib, Muhammad Adnan     08/14/2007

24604   Loper, Jeanie Marie        08/15/2007

24634   Grant, Katherine Louise        08/15/2007

24671   Al Qutshan, Dhyia Ibrahim    09/11/2007

24682   Lin, Zuorong                        08/01/2007

24693   Shah, Neel                          09/11/2007

24779   Morgan, Angela Kristina       08/01/2007

24982   Pena, Lindsay Jane              09/01/2007

25035   Womble, Joe Russell           09/11/2007

25048   Morgan, Jared Keith             08/01/2007

25053   French, Kyle Bradley            09/01/2007

25087   Grant, Gregory Gordon         09/11/2007

25108   Smith, Miranda Elisabeth      08/15/2007

25127   Hotz-Snow, Colleen Brigid    09/11/2007

25132   Nickeson, Erica Lee             09/11/2007

25158   Leinen, Jason Matthew         09/14/2007

25200   Cunningham, Charles Alvin   08/15/2007

25201   Dahlgren, Ryan Michael 09/01/2007

25526   Friedenberg, Marvin Jerome 08/01/2007

25533   Bannykh, Galina Ivanovna     08/01/2007

25562   Icenogle, Daniel Lee             08/08/2007

25580   Doebler, William Clayton      08/15/2007

25589   Zarabi, Mehdi                       08/15/2007

25610   Lajara-Nanson, Walter Artur  09/01/2007

25612   Hamburger, David Philip 09/01/2007

25681   Spaliviero, Massimiliano       09/14/2007

25683   Joseph, Tony                       09/14/2007

25684   Sadove, Richard                   08/15/2007

25689   Gerguis, Steven Sabri           08/01/2007

25692   Yandell, Seth David              9/01/2007

25738   Toothman, Richard Lee         08/15/2007

25758   Seibly, James C                  08/01/2007

25762   Ramarapu, Srikiran              08/15/2007

25776   Thompson, Alicia D              09/01/2007

25779   Reddy, Yogesh Puttappa      08/01/2007

25783   Quinones-Nazario, Gabriel    08/15/2007

25793   Ball, Robert Henry                08/01/2007

25811   Belfort, Michael Anthony       09/01/2007

25813   Ralston, Thomas Michael     09/13/2007

25827   Labossiere, Reginald Josep  08/01/2007

25832   Bialas-Potts, Megan B         09/14/2007

25843   Muthuswamy Pillai, Sophia   09/01/2007

25861   Zeikus, Eric Andrew             09/14/2007

25867   Handshy, Stanley Everett     09/14/2007

25874   Prewitt, Thomas Wendell Jr  08/01/2007

25876   Crnkovich, Francis Michael   09/06/2007

25888   Sanders, Timothy Gene 09/13/2007

25891   Bub, Lawrence David            08/01/2007

25892   Parikh, Shailja Vrajesh         08/15/2007

25899   Orozco, Jacinto Ricardo Iii    08/01/2007

25900   Bothwell, Jason Dudley        08/15/2007

25901   Alconcel, Celia Quedado      09/14/2007

25902   Mashek, Lara Del                 08/01/2007

25906   Reynolds, Christopher A.      09/01/2007

25910   Delo, Jeffrey Scott                08/15/2007

25912   Steed, Matthew Glen            09/14/2007

25913   Harris, John Jason               08/15/2007

25914   Ayers, Karyn Jester                   08/15/2007

25915   Katan, Brian Scott               09/01/2007

25919   Leveston, Steven Allan         09/14/2007

25925   King, Derik Kent                  09/14/2007

25930   Sparkman, Jeffrey Myles      09/14/2007

25931   Righi, Alberto Maria        09/14/2007

25932   Engel, Kacia Lynne              09/14/2007

25935   Sparkman, Amy Leanne       09/01/2007

25938   Brown, Kathryn Corinne 09/13/2007

25940   Israel, Steven Laurence        09/14/2007

25956   Le, Khoa Dang                     09/14/2007


OTA - Occupational Therapy Assistant


968 Barnes, Tiffany Amber                08/16/2007

971 Stanton, Gregory Charles           08/16/2007

973 Mcfarland, Melanie Jayne           08/02/2007

975 Adams, Keshia Renee               08/02/2007

977 Keplinger, Kelly Rae                   08/16/2007

983 Summers, Stephanie Lynn         08/02/2007

987 Cochnauer, Jennifer Lynn           08/02/2007

988 Graham, Nyree Dawn                 08/02/2007


OT - Occupational Therapist


1525     Bellatti, Joseph Aaron          08/16/2007

1527     Ylton, Elizabeth Ann            08/02/2007


PLD - Provisionally Licensed Dietitian


530 Harris, Patricia Lynn            07/26/2007


PRCP - Provisional Respiratory Care Practitioner


1061     Visbal, Aileen                      08/02/2007

1067     Cook, Daniel Taylor        09/11/2007

1068     Sharp, Jennifer Louise          09/11/2007

1069     Partain, Debbie Ann             09/11/2007

1070     Dorrell, Cyndi Ann                09/11/2007

1071     Baker, Sarah Catherine        09/11/2007

1072     Aufleger, Jamie Lynne          09/11/2007

1074     Mann, Dana Leanne             09/11/2007

1076     Unklesbay, Christina Nicole 09/11/2007

1077     Orr, Lori Dawn                     09/11/2007

1078     Johnson, Deborah Sue         09/11/2007

1079     Steichen, Jamie Kim            09/11/2007

1080     Ellsworth, Charlotte Ann       09/11/2007

1081     Bell, Hailey Elizabeth           09/11/2007

1082     Tran, Huong Thi                   09/11/2007

1083     Tillison, Andrea Sue             09/11/2007

1084     Smith, Stephanie Marie        09/11/2007

1086     Ellison, Keri                         09/11/2007

1087     Lafferty, Joyce Ann              09/11/2007

1088     Efunnuga, Kayode Amos      09/11/2007

1089     Mccully, Michelle Lynn         09/11/2007

1090     Dillard, Bethany Jo               09/11/2007

1091     Nave, Jeffery Bradon             09/11/2007

1092     Shore, Michael Rex              09/11/2007

1093     Rios, Elizabeth                    09/11/2007

1094     Taylor, Lyndsey Breanne      09/11/2007


PT - Physical Therapist


3776     Bourquin, Todd Lee        08/30/2007

3869     Domingo, Eleanor Miraflor     07/27/2007

3989     Crain, Leigh Nicole               09/07/2007

3994     Owens, Michelle Renee        07/26/2007

3998     Contois, Christopher Patrick 07/26/2007

3999     Cain, Laurie Kathryn             08/02/2007

4003     Murr, Jennifer Rae                07/27/2007

4008     Connor, Amy Wilcutts          08/31/2007

4011     Caldwell, Justin Kyle            08/09/2007

4014     Norton, Christy Denise         07/26/2007

4015     Hartog, Jason Paul               08/09/2007

4018     Schwartz, Amanda Michelle  08/02/2007

4021     Payne, Cody Robert             07/26/2007

4024     Adcox, Derek D                   8/30/2007

4026     Merchant, Sara Beth            08/31/2007

4027     Bednar, Kimberly Deann       08/03/2007

4029     Potter, Robyn Ann               07/26/2007

4032     Dykema, Jennifer Lynn         09/06/2007

4034     Carner, Alicia Gail                07/26/2007

4035     Alexander, Jennifer Marie      08/02/2007

4036     Black, Matthew John            08/31/2007

4039     Wall, Jesse Joel                  08/15/2007

4040     Tripp, Sherry Ruth                08/09/2007

4043     Edwards, Jennifer Leigh 07/27/2007

4045     Wyrick, Jamie Marie            08/02/2007

4050     Jilek, Brooklyn Kay              09/13/2007

4052     Powitzky, Teresita Andrea    08/30/2007

4053     Wolfe, Michelle Ann             08/30/2007

4055     Brooks-Stinson, Vicki           08/30/2007

4056     Lillard, Christina Nicole         08/30/2007

4057     Davis-Barth, Alysha Page     08/30/2007

4059     Harper, Brent Alfred        08/30/2007

4062     Brunk, Dena Marie               08/30/2007

4063     Caperton, Amanda Scott      08/30/2007

4066     Hurst, Melanie Layne           09/14/2007

4067     Mcshane, Emily Elizabeth    08/30/2007

4068     Lockwood, Elizabeth Ann     08/30/2007


PTA -  Physical Therapist Assistant


1533     Marlow, Jason Larry             08/16/2007

1560     Hinton, Snezana                  08/02/2007

1567     Kissee, Kasey Lynn                   09/07/2007

1568     Hopkins, Bethany Katrice     09/07/2007

1571     Watteau, Ian Randall            08/31/2007

1584     Thompson, Amber Cathleen 09/06/2007

1590     Walls, Penny Lane               08/02/2007

1595     Pittman, Lisa Maria              09/13/2007

1598     Seibert, Natalie L St Louis    07/27/2007

1600     Dysart, Justin Wesley          08/09/2007

1601     Guthrie, Lakresha Louise      07/26/2007

1602     Kromer, Christopher Douglas07/26/2007

1605     Lack, Laban Ray                  07/20/2007

1607     Eaton, Mitzie Lee                 08/15/2007

1608     Pieper, Courtney Nicole        08/15/2007

1610     Larsen, Haley Dawn             08/03/2007

1611     Willson, Lindsey Nicole        08/09/2007

1616     Hoppers, Melody Melinda     08/09/2007

1643     Maloy, Bonnie Jean              08/30/2007


 

RCP - Respiratory Care Practitioner


2836     Wallace, Thomas Foster Jr   07/26/2007

2901     Basham, Monica Mae          09/11/2007

2904     Hershberger, Steven L          09/11/2007

2905     Swanson, Christopher Allan 09/11/2007

2906     Douglas, Michele Angelique 09/11/2007

2907     Munholland, Verna Rene       09/11/2007

2909     Madison, William Lance       09/11/2007

2910     Bellomy, Forrest Dale           09/11/2007

2912     Reeves, Hope Lynn             09/11/2007

2913     O'hare, Rachel Nichole         09/11/2007

2914     Coleman, Anneisha Monique09/11/2007

2915     Cornell, Jessica Marie          09/11/2007

2916     Woods, Michael Anthony      09/11/2007

2918     La Buz, Misty Dawn             09/11/2007

2919     Bay, David Marcus               09/11/2007

2920     John, Sagi                           09/11/2007

2921     Gravagna, Monica Lynn 09/11/2007

2923     Poindexter, Michael Andrew 09/11/2007

2924     Bolinger, Steva Melissa        09/11/2007

2925     Beninga, Merlin Dale            09/11/2007

2926     Worth, Jana Lea                 09/11/2007

2928     Marlow, Kristi Jo                  09/11/2007

2929     Thompson, Jay Arthur          09/11/2007

2930     Livingston, Krystal Ann         09/11/2007

2931     Robson, Sheila Jo                9/11/2007

2932     Eddins, Bobby Joe Jr           09/11/2007

2933     Wolf, Kelly Anita                  09/11/2007

2934     Strauss, Minh Van               09/11/2007

2935     Mcwhirt, Bradley Ray           09/11/2007

2936     Chamberlain, Kristy Gay       09/11/2007

2937     Thompson, Alan Dean          09/11/2007

2938     Mathew, Deen Daniel           09/11/2007

2939     Dean, Amy J                       09/11/2007

2941     John, Sabu T                       09/11/2007

2942     Haring, Deborah Sue            09/13/2007

2943     Andrews, Tamera Bulman     09/11/2007

2944     Louviere, Celima Margaret     09/11/2007

2945     Olson, Monica Brooke          09/11/2007

2946     Beathard, Kathryn Jean        09/11/2007

2948     Kelley, Heather Lea              09/11/2007

2950     Babu, Sibi                           09/11/2007

2951     Murray, Dana Ann                09/11/2007

2955     Robertson, Le Ette Marie      09/11/2007

2956     Walters, Sarah Sue              09/11/2007

2957     White, Johathan Andrew       09/11/2007

2958     Rowley, Justin Wayne          09/11/2007


 

Compliance Reviews

Final reviews prior to expiration of probation:


Tina Small, MD

Elio Franco, PTA


 

Agreements terminated:


Maurice Corman, MD

Tyler Boethin, L.Ped.


 

Disciplinary Hearings

Phillip D. Ashby, RCP –Voluntarily Surrendered license in lieu of prosecution for violation of probation

Vickie Ford-Cruz, R.C.P. – Disciplinary hearing alleging falsifying continuing education documentation - Revoked

Paul Cheng, M.D. – Disciplinary hearing alleging illegally obtaining and distributing controlled dangerous substance(s); engaging in a sexual relationship with a patient – Revoked

Nancy Ellen Grayson, MD – Disciplinary hearing alleging sexual misconduct and prescribing violations – License suspended until defendant obtains assessment

Mary Susan McCammon, P.T. – Disciplinary hearing alleging violation of probation – Probation extended two years

Larry Allen Minton, MD – Disciplinary hearing alleging disciplinary action in another state – Case continued until the November 1, 2007 meeting

Can Dinh Phung, MD – Disciplinary hearing alleging prescribing violations – License suspended until defendant obtains an evaluation from CPEP

Darrell Arnold Seelig, MD – Disciplinary hearing alleging prescribing violations – Voluntarily Surrendered license in lieu of prosecution

David Trent, M.D. – Disciplinary hearing alleging inability to practice medicine with reasonable skill and safety – Case continued to the November 1, 2007 meeting

Holly Tina Wells, R.C.P. – Disciplinary hearing alleging drug abuse – Case continued until the November 1, 2007 meeting

 

Announcements

Kenneth Foster, MD - Emergency suspension of license

Alexander Theodore, MD – Summary suspension of license

Sameena Khan, M.D. – Disciplinary hearing alleging negligence or inability to practice medicine – Case continued to the November 1, 2007 meeting

Stephen Vance Paul, PA – Disciplinary hearing alleging substance abuse – Case continued to the November 1, 2007 meeting

Jerry Whatley, M.D. – Disciplinary hearing alleging prescribing violations – Case continued to the November 1, 2007 meeting

 

Appointments

Julie Huber, RD/LD reappointed to the Advisory Committee on Dietetics

Julie Fanselau, RCP and Carol Smith, RCP reappointed to the Respiratory Care Advisory Committee

Mark Lynn, MD nominated for reappointment to the Heath Professionals Program Board