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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
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
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
25874
Prewitt, Thomas Wendell Jr 08/01/2007
25876
Crnkovich, Francis Michael 09/06/2007
25888
Sanders, Timothy Gene 09/13/2007
25891 Bub,
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
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
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
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,
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,
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