Agenda - Oklahoma Board of Medical Licensure and Supervision
Agenda - Oklahoma Board of Medical Licensure and Supervision
Agenda - Oklahoma Board of Medical Licensure and Supervision
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<strong>Agenda</strong><br />
<strong>Board</strong> <strong>of</strong> <strong>Medical</strong> <strong>Licensure</strong> & <strong>Supervision</strong><br />
This meeting <strong>of</strong> the <strong>Board</strong> will be held at the <strong>of</strong>fice <strong>of</strong> the <strong>Board</strong>, 101 NE 51 st Street, <strong>Oklahoma</strong> City,<br />
<strong>Oklahoma</strong> in accordance with the Administrative Procedures Act <strong>and</strong> Open Meeting Act <strong>of</strong> <strong>Oklahoma</strong>.<br />
*INDIVIDUAL PROCEEDINGS: Review <strong>and</strong> action on all agenda items noted for individual proceedings. In<br />
all agenda items noted for individual proceedings, a majority <strong>of</strong> a quorum <strong>of</strong> <strong>Board</strong> members, in a<br />
recorded vote, may call for closed deliberations for the purpose <strong>of</strong> engaging in formal deliberations<br />
leading to an intermediate or final decision in an individual proceeding under the legal authority <strong>of</strong><br />
<strong>Oklahoma</strong> state statutes, to wit: Article II <strong>of</strong> the <strong>Oklahoma</strong> Administrative Procedures Act, 75 O.S. §309<br />
<strong>and</strong> the <strong>Oklahoma</strong> Open Meeting Act, 25 O.S. §307(B)(8).<br />
9:00 A.M.<br />
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9:30 A.M.<br />
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10:00 A.M.<br />
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Meeting called to order<br />
Election <strong>of</strong> <strong>of</strong>ficers<br />
July 22, 2010<br />
*Gregory Connor, MD – Final probation review<br />
*Lisa Duhon, MD – Staff motion to terminate agreement<br />
*Lori Hansen, MD - Motion for termination <strong>of</strong> probation<br />
*David Linden, MD - Motion for termination <strong>of</strong> probation<br />
*Mark Edward Van Wormer – Applicant, reinstatement <strong>of</strong> full medical license<br />
*Tajammul Hussain Farooq Mohammed – Applicant, special training license<br />
*Simon Studeny – Applicant, full medical license<br />
* Alroy Henry Fern<strong>and</strong>es – Applicant, full medical license<br />
*Shukri Misbah Abdullah – Applicant, full medical license<br />
Scott Gregory Bearden, PA – Disciplinary hearing alleging sexual misconduct <strong>and</strong><br />
prescribing violations<br />
Jonathan Keith Brewer, MD – Disciplinary hearing alleging substance abuse<br />
prescribing violations <strong>and</strong> fraud in applying for reregistration <strong>of</strong> a medical license<br />
Nilaksha Bhatt, MD – Disciplinary hearing alleging substance abuse<br />
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Bruce Scot Carlton, PA – Disciplinary hearing alleging substance abuse<br />
Anita Jetawn Cooper, RC – Disciplinary hearing alleging violation <strong>of</strong> <strong>Board</strong> Order <strong>and</strong><br />
failure to cooperate with a lawful investigation<br />
James Kent Robberson, MD – Disciplinary hearing alleging sexual misconduct,<br />
falsification <strong>of</strong> medical records <strong>and</strong> prescribing violations<br />
*Rogelio Bombach, MD – Motion for reconsideration <strong>of</strong> suspension <strong>of</strong> license<br />
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ANNOUNCEMENTS<br />
Steven Constantine Anagnost, MD – Disciplinary hearing alleging fraud, negligence,<br />
<strong>and</strong> incompetence - Cases continued to the September 16, 2010 meeting<br />
Leonardo Herman Claravall, MD – Disciplinary hearing alleging fraud, criminal law<br />
violations, prescribing violations, <strong>and</strong> incompetence [license summarily<br />
suspended 6/10/10]<br />
David Paul Crass, MD – Disciplinary hearing alleging prescribing violations<br />
Marcus James Fidel, MD – Disciplinary hearing alleging sexual misconduct <strong>and</strong><br />
incapacity or incompetence to practice medicine<br />
Betti Louise Wymer, PA – Disciplinary hearing alleging prescribing violations,<br />
substance abuse, negligence, aiding or abetting the unlicensed practice <strong>of</strong><br />
medicine, employing her own supervising physician, <strong>and</strong> incapacity or<br />
incompetence to practice medicine<br />
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UNSCHEDULED ITEMS<br />
Review/action - minutes <strong>of</strong> the June 25, 2010 meeting<br />
Review/action – Committee recommendations:<br />
Occupational Therapy Advisory Committee<br />
Advisory Committee on Dietetic Registration<br />
Physician Assistant Advisory Committee<br />
Ratify applications approved by the Secretary/circularization (attached to agenda)<br />
Review/action – appoint members to <strong>Board</strong> Certification Advisory Committee<br />
Executive Director's report to the <strong>Board</strong><br />
New Business – any matter not known about or which could not have been reasonable<br />
foreseen prior to the time <strong>of</strong> posting<br />
July 23, 2010 as needed<br />
2
FOR RATIFICATION<br />
LICENSES ISSUED SINCE THE LAST MEETING<br />
MD MEDICAL DOCTOR<br />
24574 KANALY, TRAVIS EDWARD<br />
25088 JACOB, REENA ELIZABETH<br />
25744 HAYES, MANDY LYNN<br />
26259 ABID, HUMAIRA<br />
26280 JOSHI, SUJAN<br />
26300 DATAR, SUDHIR VISHWAS<br />
26302 KONYAK, ALHANG SANYO<br />
26305 WASTI, AJLA TASLEEM<br />
26313 BRADLEY, NATHAN ALAN<br />
26330 CUTRER, CHRYSTAL MARJENHOFF<br />
26345 COUVILLON, CRAIG MICHAEL<br />
26349 WAYANGANKAR, SIDDHARTH ARUN<br />
26350 CHOWNING, SCOTT LYNN<br />
26351 WALIA, BHUPINDER SINGH<br />
26352 PAREKH, HIRAL DILIPKUMAR<br />
26355 BILAL, AHMAD<br />
26359 ROUSAN, TALLA AKRAM<br />
26360 SUNDERLAND, KELLY MICHELLE<br />
26373 ENGLES, CHRISTOPHER DIRK<br />
26374 KHAWANDANAH, MOHAMAD OSAMA<br />
26382 CAGUIOA-AQUINO, JODILYN NICOLAS<br />
26397 SANTOS, RICHARD ORDONEZ<br />
26399 KHAKBAZNEJAD, ALIREZA<br />
26407 PAKALA, ANEESH VENKAT<br />
26414 DOYLE, ROSE ELLEN O'NEIL<br />
26423 GAITAN, JUAN ISRAEL<br />
26437 AINSWORTH, JENNIFER COLLINS<br />
26438 RAMIREZ ATAMOROS, MARIA TERESA<br />
26439 PUGH, MARY ANNETTE<br />
26443 KURKCIYAN, AREK<br />
26445 DUNLAP, PATRICIA DENISE<br />
26446 JAIN, VIKAS<br />
26447 CANILLAS, MARTIN RODRIGO<br />
26457 DOGAN-BAG, VAHIDE MERIH<br />
26458 CIOLAC, CANDICE MICHELLE<br />
26459 ADU, AYO<br />
26468 MODI, VISHAL<br />
26469 KIM, HYE SUN<br />
26470 NKOMBENGNONDO, MARCELLE P<br />
26473 HROMADKA, MICHAEL VINCENT<br />
26475 HOLDMAN, DANIEL JAMES<br />
26478 BOKKA, JAGAN MOHAN REDDY<br />
26481 KOLTA, SOHA WASFI BENYAMIN<br />
26489 BOINDALA, NAVEENA SESIKERAN<br />
26498 UDDIN, IMAD<br />
26499 SUTTLE, ALLAN LA RANCE<br />
26503 ROJAS, RHODA LYN AURE<br />
26504 RAPARTHI, AGNEL RAJANI<br />
26505 POSTLEWAIT, ROBERT JAMES<br />
26508 JOHN, REEJA<br />
26510 MERCHEA, MONIKA<br />
26511 GARMANY, CHAD LANDON<br />
26512 DIAZ, AMAURY<br />
26513 AYYAGARI, SRIKALA<br />
26533 DASARI, PAUL SHIRODEEP<br />
26537 AHMED, MOHAMMED SOHEL<br />
26564 CORBIN, ERIN ELIZABETH<br />
26576 MURPHREE, ALLISON LEIGH<br />
26597 DOAN, JOHN TIEN<br />
26869 MARKIEWICZ, JACK DAVID<br />
26987 VAUGHN, ANTHONY JONATHAN<br />
26989 NELSON, KAREN CHERYL<br />
27024 TAYLOR, JIMMIE MATTHEW<br />
27026 PUTNAM, NATHAN GREGORY<br />
27029 SHAH, SAJID HUSSAIN<br />
27039 WHITE, CATHERINE LOUISE<br />
27041 GREGORY, JAMES RICHARD<br />
27055 YATES, ASHLEY MEADOR<br />
27060 PATEL, ARPIT<br />
27062 YATES, TIMOTHY CHARLES<br />
27063 WOODSON, JEREMY ROBERT<br />
27072 RAINES, ALEXANDER ROSS<br />
27082 BUTLER, JENNIFER LYNN<br />
27084 TAYLOR, AUSTIN LYNN<br />
27087 LAWRENCE, BRENT MARTELL<br />
27090 SMITH, LANCE CRAIG<br />
27103 KHAN, SANA NAFEEZ<br />
27118 MORRIS, COURTNEY DIANE<br />
27122 JUAREZ, DIANNA LEA<br />
27133 KIM, FADALIA DARLENE<br />
27137 SCHAUF, KYLE JOSEPH<br />
27140 CUNNINGHAM, BRETT IRISH<br />
27145 BULLOCK, SALLY JO<br />
27167 GOFF, CHRISTOPHER JOHN<br />
27177 SCHWARTZ, LAUREN HEATHER<br />
27185 WINDRIX, CASEY MORGAN<br />
27189 FINE, MARK ANDREW<br />
27190 HUMMER, KIMBERLY CHRISTINE<br />
27192 VAN STRATEN, AMANDA FELICIA<br />
27193 RIGGS, STERLING BABBITT<br />
27201 JARED, MATTHEW JEFFERSON<br />
27213 KOEHLER, MICHAEL PAUL<br />
27217 SPARKS, LAUREN<br />
27220 BENNETT, ASHLEY GAIL<br />
27221 SCHRAMM, MICHAEL DAVID<br />
27222 MUNDY, RYAN THOMAS<br />
27231 NWANKWO, FRANK AZUBUIKE<br />
27232 RANDHAWA, PAL SINGH<br />
27235 WEBB, TYLER ALAN<br />
27242 MUELLER, HEATH HEASLEY<br />
27243 WURFEL, BRENT ERNEST<br />
27250 TANDY, MATTHEW LEE<br />
27253 ROGERS, KALEN JARED<br />
27254 WADE, GABRIEL CHARLES<br />
27256 DEMARZO, DANIELLE<br />
27257 CROUCH, MARK HUGHES<br />
27260 CRANE, ROBERT DANFORD<br />
27264 OSTRANDER, JEFFRY SCOTT JR<br />
27265 SKELLY, DANIEL RYAN<br />
27266 SALEEM, SHADI<br />
27268 WRIGHT, MICHAEL BOYD<br />
27273 COBURN, MATTHEW ZACHARY<br />
27275 MCINTOSH, SCOTT AUSTIN<br />
27277 MCMURRAY, DIRK<br />
27285 SOLIMAN, CHARLES EVAN<br />
27297 NUZUM-KEIM, ANDRA DALE
27303 GALATIAN, ALISON ANN<br />
27304 CIOLAC, GEORGE ALEXANDRU<br />
27316 FICK, KATHRYN LEE<br />
27322 SINGH, NISHA S<br />
27549 BISWAS, TITHI<br />
27629 AMBERSON, ERIC ANDREW<br />
27679 DAVIS, COLE BRIAN<br />
27682 POKALA, HANUMANTHA RAO<br />
27697 BARROGA, DESI E<br />
27698 REBEIRO, EGBERT<br />
27700 STUTES, SHAHAN AHMED<br />
27706 BERNARD, RENAE LYNNE<br />
27714 FARRELL, MELANIE TIRRONEN<br />
27715 CASANEGRA, ANA ISABEL<br />
27730 SIREN, KAREN ANNE<br />
27734 KORN, NURIT<br />
27745 MALISKA, CHARLES MILES III<br />
27746 HARSHMAN, LEEANNE KATHERINE<br />
27763 MANSOOR, SOBIA FATIMA<br />
27768 SADANA, NEETI<br />
27780 ORENDORFF, CHRISTOPHER W<br />
27783 PAUL, SEAN<br />
27820 GABEN, AHMAD MOHAMMAD<br />
27828 AGGARWAL, ATUL<br />
27837 QUITEL, LODZE<br />
27843 EVANS, RICHARD BRUCE<br />
27881 NAYDENOV, SOOPHIA KHAN<br />
27887 STONE, ANDREW MICHAEL<br />
27891 SHY, KAMILAH NAFUNA<br />
27892 HAND, ALFRED PARKHILL<br />
27900 GREENFIELD, ANTJE<br />
27901 WINICK, KATHRYN ANNETTE<br />
27908 PHELPS, JEREMY TODD<br />
27911 HUTCHISON, RICHARD LOUIS<br />
27920 JETTON, JACQUELYN AUDRIA<br />
27924 SRIKANTH, MYUR SRINIVASAN<br />
27925 HOSTIN, RICHARD ALAN JR<br />
27940 MAHMOOD, KASHIF<br />
27941 ONAFUYE, RASHEED ADEYINKA<br />
27945 BLIZNAK, JOHNNY<br />
27963 TADIA, RIAZ YUSUF<br />
27964 DEWAN, DEEKSHA LOOMBA<br />
27969 SAVATH, KRISTEN MARIE<br />
27974 BABBEL, DANIEL MCLAIN<br />
27975 RINGUS, VYTAUTAS MATAS<br />
27981 SHRIVASTAVA, RAKESH<br />
27987 PICKARD, JOHN LANCE<br />
27988 KLITZMAN, MELISSA DON<br />
27989 FOTEH, KOUSTA ISSA<br />
27991 KELLY, PATRICK D<br />
27998 YASIN, NURA<br />
28025 DILEO, STEVEN JOSEPH<br />
MDV <strong>Medical</strong> Doctor - Volunteer<br />
50 SCHUCANY, WILLIAM GREGORY 51 GUTIERREZ, NEMESIO E.S.<br />
OA Occupational Therapy Assistant<br />
1092 LAVALLEE, AMY D 1134 ANDERSON, LORI CHRISTINE<br />
1144 GEAN, KATRESA MARIE<br />
OT Occupational Therapist<br />
1653 KENDALL, MATTHEW RYAN 1655 SMITH, SHELLI DIANE<br />
1656 FISCHER, SHANNON ELAINE 1657 RYAN, AMY ERIN<br />
1658 MIKEMAN, EMILY ANN 1659 LE, TUNG SON<br />
1660 HANNAN, MELISSA DIANE 1661 AGBE-DAVIES, MOTOLANI AYOKUNLE<br />
1662 WEBER, KRISTEN SHANDEL 1663 POTTER, NATASHA LYNNE<br />
1664 MOORE, JESSICA KATE 1666 OLDENBURG, LAURA JEAN<br />
1669 WALLACE, JENNIFER LEE<br />
PR Provisional Respiratory Care Practitioner<br />
1280 WILSON, ANGELA RENAY<br />
PT Physical Therapist<br />
4309 BOYD, ANGELA DAWN<br />
4311 COOPER, JUSTIN MARK<br />
4313 KYSAR, KATELIN ANN<br />
4318 BUCKLEY, MARY ANN<br />
4320 AUSTIN, JENNIFER ELAINE<br />
4321 DAY, ASHLEIGH MARIE<br />
4323 CROCKETT, BONNIE JILL<br />
4324 STORTS, JARED LEE<br />
4325 DUPUY, EMILY CLAIRE<br />
4339 WARD, KACY JOYCE<br />
TA Physical Therapist Assistant<br />
1887 MCCRAY, JENNIFER LYNN<br />
1888 WILDE, DARCE DANAE<br />
1889 ETHRIDGE, MELISSA SUE ANN<br />
4341 CODY, KATHERINE JUNE<br />
4343 WILCOX, REBECCA ANNE<br />
4346 LAUFER, HEATHER LEE<br />
4347 BAKER, DORA ANN<br />
4348 BRASHARES, CHRISTINA LOU<br />
4350 HIGHTOWER, LINZI MARIE<br />
4354 WARD, WESLEY SHANE<br />
4361 KANELAKOS, BRIAN JAMES<br />
4364 KNECHT, DAVID SCOTT<br />
1892 SULLIVAN, LAUREN FERNE<br />
1895 GEARY, TROY JAMES<br />
1896 VENTERS, MICHELLE RENEE'
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