Interim Practice Restriction – Respondent is prohibited from engaging in the practice of medicine in the State of Arizona except as stated herein: Respondent shall continue to participate in the PBI post CME maintenance and accountability seminars and successfully complete them. Respondent shall promptly provide a copy of this Interim Consent Agreement and his Personalized Protection Plan to all employers or residency programs where Respondent currently has or applies for employment or residency. Respondent shall cause his employers or residency program(s) to provide written verification that the employer/program has reviewed the Interim Consent Agreement and Personalized Protection Plan and agrees to ensure that Respondent’s practice conforms to the relevant portions of the Plan. The employer/program shall agree to notify the Board immediately if there is any concern regarding Respondent’s safety to practice medicine.

License
R78352
Quarter