Quarterly Disciplinary Actions
| Name | License | Category | Quarter | Description |
|---|---|---|---|---|
| Dominique Canaya Tacan | T027117 | Technicians | 2020 - Q2 | Consent Agreement for Civil Penalty, Continuing Education and Audit. |
| Marissa Butler | T054750 | Technicians | 2020 - Q2 | Decision and Order. License Revoked. |
| Brian Gregory Dake | T064812 | Technicians | 2020 - Q2 | Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty. |
| PharMEDium Services, LLC | M000343, M000104, M000105, M000106 | Permits | 2020 - Q2 | Consent Agreement and Order for Voluntary Surrendered. Permits Surrender. |
| Luis S. Dalmendray, MD | 6475 | Arizona Medical Board | 2020 - Q2 | Practice Limitation – (Non Disciplinary) – Physician is limited in that he shall not practice medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications until he applies to the Board and receives its affirmative permission to do. |
| Michael L. Ham, MD | 26357 | Arizona Medical Board | 2020 - Q2 | Interim Practice Restriction – Respondent is prohibited from engaging in the practice of medicine in the State of Arizona as set forth in A.R.S. § 32-1401(22) until the Respondent applies to the Executive Director and receives permission to do so. |
| Andrew K. McBride, PA | 7443 | Arizona Medical Board | 2020 - Q2 | Interim Practice Limitation- Respondent is prohibited from engaging in healthcare tasks in the STate of Arizona as set forth in A.R.S. § 32-2501(13) until he applies to the Executive Director and receives permission to do so. |
| Alpen B. Patel, MD | 47525 | Arizona Medical Board | 2020 - Q2 | Surrender of License effective 02/07/2020 |
| Subodh S. Shroff, MD | 37588 | Arizona Medical Board | 2020 - Q2 | Surrender of License,. Effective 02-05-19. |
| Mark D. Williams MD | 29945 | Arizona Medical Board | 2020 - Q2 | Revocation-Effective 7-10-19 |
| Jerry Olshan, DO | 1376 | Arizona Board of Osteopathic Examiners | 2020 - Q2 | Complete Revocation of license to practice Osteopathic Medicine in the State of Arizona. |
| Ashley Nicole Rohlfing | T040952 | Technicians | 2020 - Q2 | Consent Agreement for Voluntary Surrender of License. License Surrendered. |
| Megan Lynsey Loya | T055038 | Technicians | 2020 - Q2 | Decision and Order. License Revoked. |
| Ariann Moore | T061892 | Technicians | 2020 - Q2 | Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty. |
| Walgreens #04077 | Y005064 | Permits | 2020 - Q2 | Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,000.00 civil penalty. |
| Damon M. Dell”aglio, MD | 56560 | Arizona Medical Board | 2020 - Q2 | Interim Practice Restriction – Respondent is prohibited from engaging in the practice of medicine in the State of Arizona as set forth in A.R.S. § 32-1401(22) until Respondent applies to the Executive Director and receives permission to do so. |
| Kimberly A. Hart, PA | 5631 | Arizona Medical Board | 2020 - Q2 | Revocation of License – Effective 7/1/20 |
| Cederic W. McClinton, MD | 12711 | Arizona Medical Board | 2020 - Q2 | Revocation of License effective 4/10/20 |
| Hugo R. Paulson, MD | 49002 | Arizona Medical Board | 2020 - Q2 | Surrender of License, Effective 7-12-19 |
| Garey S. Simmonds, MD | 23958 | Arizona Medical Board | 2020 - Q2 | Request for License inactivation with Cause and Order Inactivating License with Cause, Effective 03-21-19. |