Arizona State Board of Pharmacy

Protects the health, safety and welfare of the citizens of Arizona

Quarterly Disciplinary Actions

September 2020 (Quarterly Update)
Disciplinary Actions & Updates

Arizona Board of Pharmacy

Technicians

Shaquile Robinson (T058956) – Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Joshua Meagher (T033591) - Decision and Order. License Revoked.

Kyleisha Ta'Suan Williams (T058520) - Decision and Order. License Revoked.

Manuel Luis Munoz (T057217) - Decision and Order. License Revoked.

Mikaelah Savage (T054494) - Decision and Order. License Revoked.

Joshua Scott Kelly (T061805) - Decision and Order. License Revoked.

Cody Castillo (T056959) – Decision and Order. License Revoked.

Michael Craig Devitt (T063171) – Decision and Order. License Revoked.

Tanquaneice Clyde (T060161) – Decision and Order. License Revoked.

Haleigh Lisette Enriquez (T055703) – Decision and Order. License Revoked.

Elizabeth Kristen Martinez (T032828) – Decision and Order. License Revoked.

Dale Anderson (T057221) – Decision and Order. License Revoked.

Antonio Hyair Moreno Fernandez (T060039) – Decision and Order. License Revoked.

Shikira S Wesley (T059709) – Decision and Order. License Revoked.

Neiko Warren Yazzie (T061619) – Decision and Order. License Revoked.

Donald Kennedy (T056212) – Decision and Order. License Revoked.

Brandon Theodore Forde (T059911) – Decision and Order. License Revoked.

LorrieAnn Vitello (T056998) – Decision and Order. License Revoked.

Adriana Silva Zavala (T057459) – Decision and Order. License Revoked.

Gabriela Olivia Castillo (T063305) – Decision and Order. License Revoked.

Ashley A Maturino (T060744) – Decision and Order. License Revoked.

Kahlise Monique Ellis (T053759) – Decision and Order. License Revoked.

Isaiah Zadran Perez (T054054) – Decision and Order. License Revoked.

Jarratt Jheryl White (T056486) – Decision and Order. License Revoked.

Christopher Shaler (T000673) – Decision and Order. License Revoked.

Crystal Diane Schaffer (T063005) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Debra Kay Mann (T009638) – Consent Agreement for Voluntary Surrender. License Surrendered.

Luke Scott Zoref (T062517) – Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Alyssa Marie Kinney (T056873) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Crystal Ann McCue (T064087) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Anthony S. Lincoln (T061590) - Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Jose Enrique Viera Garcia (T054613) - Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Leah Louise Watson (T061815) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Natalia Lockas Ochoa (T011736) – Consent Agreement for Voluntary Surrender of License. License Surrendered.

Herasmo Gilbert Valdez (T061649) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Shara Lopez (T000614) – Consent Agreement and Order for Suspension and Probation. License suspended for six months and then placed on probation for a minimum of twelve months.

Denise Ballesteros (T062473) – Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Ramon Francisco Delgado (T055220) – Consent Agreement for Voluntary Surrender of License. License Surrendered.

Devin Angle (T067858) – Interim Consent Agreement for Substance Use Evaluation (Including Drug Testing) and Interim Suspension of License.

Michael Melvin Patton (T069634) – Consent Agreement for Civil Penalty. License issued upon payment of $250.00 civil penalty.

Delores Baca (T069656) – Consent Agreement for Civil Penalty. License issued upon payment of $250.00 civil penalty.

MARIA EUGENIA VILLEGAS (T069855) - Consent Agreement for Civil Penalty. License issued upon payment of $250.00 civil penalty.

Anthony Michael Ranalli (T069735) – Consent Agreement and Order for Civil Penalty, Probation and Monitoring. License issued upon payment of civil penalty and immediately placed on probation.

Deja White (T061985) – Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Victoria Rene Gonzalez (T063749) - Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Heidi Ruth Dempsey (T028359) - Consent Agreement for Civil Penalty, Continuing Education and Audit. The consent includes a $500.00 civil penalty, 10 additional hours of CE and audit.

Kristle Dawn Bochat (T069882) - Consent Agreement for Civil Penalty. License issued upon payment of $250.00 civil penalty.

Marco Antonio Cordova (T057886) - Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Kamalani Sedona Salazar (T063684) - Consent Agreement and Order for Civil Penalty. The consent includes a $250.00 civil penalty.

Miranda Dodson (T061795) - Consent Agreement for Civil Penalty. The consent includes a $250.00 civil penalty.

Cynthia M Sosa (T069784) - Consent Agreement for Civil Penalty. License issued upon payment of $250.00 civil penalty.

Gabriel Francisco Valencia Sevilla (T061719) – Decision and Order. License Revoked.

Steven Antione Carlleon Jones (No #) - Consent Agreement for Civil Penalty. License will be issued upon payment of $250.00 civil penalty. If applicant fails to pay civil penalty, license will be denied.

Jesse Nevada Lucas (T067963) – Consent Agreement for Probation, Rehabilitation and Monitoring. Probation for a minimum period of two years.

Kelly Bryce (T053761) – Decision and Order. License Revoked.

Alyssa Lauren Moss (T059827) – Decision and Order. License Revoked.

Bonita Anguiano (T055746) – Decision and Order. License Revoked.

Rachel M McLean (T059829) – Decision and Order. License Revoked.

Kristi Lynn Yeomans (T054192) – Decision and Order. License Revoked.

April Mayela Valle Santana (T058966) – Decision and Order. License Revoked.

Quinterrous Moore (T061889) - Decision and Order. License Revoked.

Kyle Armen Mirzaian (T056343) - Decision and Order. License Revoked.

Vincent Mondry (T059815) - Decision and Order. License Revoked.

Ivan Vega (T063123) – Decision and Order. License Revoked.

John Hamlin (T060673) – Decision and Order. License Revoked.

Bo Francis Descheenie (T060190) – Decision and Order. License Revoked.

Gerald Walsh (T061344) – Decision and Order. License Revoked.

Jesus Vazquez (T056149) – Decision and Order. License Revoked.

Andrea Renee Kelley (T058031) – Decision and Order. License Revoked.

Bhreanna Miquela Begay (T058192) – Decision and Order. License Revoked.

Angelica Re Beene (T064633) – Decision and Order. License Revoked.

Arcangela Savallisch (T065319) - Decision and Order. License Revoked.

Veronica Hinojos (T058578) - Decision and Order. License Revoked.

Yara Zeneth Vega (T060094) - Decision and Order. License Revoked.

Judith Hortencia Vargas Ramos (T053771) - Decision and Order. License Revoked.

Christina Marie Clemons (T022438) - Decision and Order. License Revoked.

Tanner Forrest Dickerson (T050577) - Decision and Order. License Revoked.

Gerald Bernard Ogden (T062595) - Decision and Order. License Revoked.

Marianne Burgess (T056439) - Decision and Order. License Revoked.

Denise Ann Duarte (T062357) - Decision and Order. License Revoked.

Paul Michael Moor (T061498) – Decision and Order. License Revoked.

Pharmacists

Mohamed S. Hassanein-Elembabi (S016520) - Second Amendment to the Consent Agreement and Order of Suspension Followed by Probation

Robert W. Green (S005107) - Decision and Order. License Revoked.

Christopher Shaun Stoffel (S019617) - First Amendment to Consent Agreement and Order for Suspension

John J. Wells (S011977) – Consent Agreement for Civil Penalty, Continuing Education and Audit. The consent includes a $2,800.00 civil penalty, 15 additional hours of CE and audit.

Nathan J. Duke (S011549) – Consent Agreement and Order for Suspension of License and Treatment, Rehabilitation and Monitoring.

M. Don Brewer (S016158) – Interim Consent Agreement for Substance Use Evaluation (Including Drug Testing) and Interim Suspension of License.

Miguel Angel Garcia (S019227) – Interim Consent Agreement for Interim Suspension of License and Psychological Evaluation.

Donna J. Koprowski (S017799) - Consent Agreement and Order for Probation and Rehabilitation and Monitoring.

Chad E. Harrison (S018400) – Consent Agreement and Order for Probation and Monitoring. Probation for five years.

Permits

Complete Pharmacy & Medical Solutions (Y005202 & M001295) – Consent Agreement for Civil Penalty. The consent includes a $2,000.00 civil penalty.

Med-Health Solutions, Inc. dba Freedom Pharmacy (Y006590) – Decision and Order. Permit Revoked.

Nationwide DME LLC (C000892) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

JSW Medical LLC (C001694) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

JL Healthcare (C001685) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

Citywide DME LLC (C001586) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

Red Mountain Medical Supplies (C001587) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

Pinehurst Medical Equipment (C001588) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

Goodyear Medical Supplies (C001476) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

United DME, LLC (C001347) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

Summit Medical West, LLC (C001474) - Consent Agreement and Order for Voluntary Surrender. Permit Surrendered.

Healthrx Pharmacy (Y007881) – Consent Agreement and Order for Civil Penalty. The consent includes a $1,000.00 civil penalty.

Thomas Labs, LLC (W002548) – Consent Agreement and Order for Letter of Reprimand.

Rio Rico Pharmacy (Y004369) – Consent Agreement and Order for Letter of Reprimand.

Sulzbach Enterprises, Inc. (M000647) - Consent Agreement for Civil Penalty. The consent includes a $400.00 civil penalty.

Disciplinary Actions and Updates – Other Health Boards

UPDATED LIST

Arizona Medical Board

Michael Abraham, PA #5934-Interim Practice Restriction – Respondent shall not prescribe controlled substances in the State of Arizona and shall not have access to controlled substances in the workplace during the period of this Order.

Mark A. Abramovich, MD #35225- Surrender of license effective 02/07/2020

Terrence J. Adam, MD #33382-Interim Practice Limitation- (Non- Disciplinary). Physician 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 he applies to the Board and receives its affirmative permission to do.

Paul A. Aupperle, MD#30485-Request for License Inactivation with Cause and Order Inactivating License with Cause- effective 05/24/19

Nita B. Babcock, MD#49882- Surrender of License effective 08/06/2020

Jujhar S. Bains, MD #54547-Interim Practice Limitation- (Non- Disciplinary). Physician 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 she applies to the Board and receives its affirmative permission to do.

James C. Barsz, MD #12365- Surrender of License, Effective 9-13-19

Marc A. Bauder, MD #15235- Surrender of License effective 5/8/2020

Rajeev Billing, MD #55813- 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.

Napoleon R. Bravo, MD #42672-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.

Aldemir T. Coelho, M.D. # 12445- Respondent’s license to practice allopathic medicine in the State of Arizona is summarily suspended. Respondent is prohibited from practicing medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications or injections of any kind.

Steven Cohen, MD #28261- Surrender of License effective 08/06/2020

Gordon J. Cuzner, MD #17172- Surrender of License Effective 11-8-19

Sharron Jones-Daggett, MD #47737-Interim Practice Limitation- (Non- Disciplinary). Physician 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 she applies to the Board and receives its affirmative permission to do so.

Salim O. Dahdah, MD #51630-Surrender of License, Effective 03-08-19.

Luis S. Dalmendray, MD# 6475-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.

Damon M. Dell”aglio, MD #56560- 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.

Karnail S. Dhillon, MD #27921-Respondent is restricted in that he is prohibited from prescribing controlled substances until he has completed the required CME, enters into an Agreement with a Board-approved monitor to conduct chart reviews and provides satisfactory proof of compliance with these requirements. Effective 2-5-19.

Gordon T. Doneskey, M.D. #15879- Surrender of License effective 08/06/2020

Sean P. Elliot, MD# 27986-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.

Lisa S. Emmans, MD#29814- Request for License Inactivation with Cause and Order Inactivating License with Cause- effective 08/28/19

James H. Evans, MD #28668-Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances or acting as a Supervising Physician in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Scot G. Fechtel, MD #25410- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter or until Respondent has made a written request for release as stated in paragraph 2 below

Norman M. Fernando, MD #15894- Revocation of License effective 06/12/2020

Kenneth M. Fisher, MD #12762- Surrender of License Effective 01/09/2020

Michael J. Fitzmaurice, MD # 36511- Interim Practice Restriction – Respondent is prohibited from engaging in the practice of medicine in the State of Arizona until Respondent applies to the Executive Director and receives permission to do so.

Tom R. Fitch, MD# 17602-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 so.

Cynthia G. Funckes, MD #25845- Surrender of License Effective 11-8-19

Phillip E. D. Gear, MD # 15896- Surrender of License Effective 11-8-19

Paresh Goel, M.D. # 44344- 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.

James D. Gordon, M.D. # 28386- Request for License Inactivation with Cause and Order Inactivating License with Cause- effective 7/6/2020.

Stephen J. Graham, MD #19987-Interim Practice Limitation – (Non Disciplinary) – Physician 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 he applies to the Board and receives its affirmative permission to do so.

Susan B. Greger, MD #47822-Respondent’s practice is restricted in that she shall not practice medicine in the state of Arizona and is prohibited from prescribing any form of treatment including prescription medications until the Respondent applies to the Board and receives permission to do so. Effective 4.16.19

Michael L. Ham, MD #26357- 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.

Kimberly A. Hart, PA#5631- Revocation of License – Effective 7/1/20

Connie Hoh, MD#45182- 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.

Joshua D. Holland, MD #17551- Respondent’s license to practice allopathic medicine in the State of Arizona is summarily restricted. Respondent is prohibited from prescribing, administering or dispensing controlled substances or weight loss medication until he applies to the Board and receives permission to do so.

Simon B. Isaac, MD #46865-Surrender of License-Effective 10/9/19

Ginece J. Jackson, MD #54090- Interim Practice Limitation – (Non Disciplinary) – Physician 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 he applies to the Board and receives its affirmative permission to do

Lois A. Jensen, MD #46948-Surrender of license-Effective 12.11.19

Gerald R. Keenan, P.A. #5593-Surrender of License-Effective 5/29/19

Skye C. King MD #R75477-Surrender of License-Effective 3-08-19.

David P. Knapp MD #22830- Surrender-Effective 6-4-19

David G. Lawson, MD #231455- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

David M. Leder, M.D., MD #- Interim Practice Restriction – Respondent is prohibited from engaging in the practice of medicine in the State of Arizona until Respondent applies to the Executive Director and receives permission to do so.

Eun M. Lee, MD #29485- Surrender of License- Effective 01/09/2020

Stephen E. Lindstrom, MD #7585-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.

Ming-Jai Liu, MD #47701-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.

Kang Lu, MD #45228-Respondent's license to practice allopathic medicine in Arizona is summarily suspended in that Respondent is prohibited from practicing medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications or injections of any kind. Revocation-Effective 7-10-19

Madonna Mallari ,MD #33207-Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Manith S. Mann, M.D. # 32732- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Xavier Martinez, MD #18944- Revocation of License effective 09/10/2020

Andrew K. McBride, PA #7443-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.

Cederic W. McClinton, MD #12711- Revocation of License effective 4/10/20

John W. McGettigan, MD # 12606- Interim Practice Restriction: Respondent is prohibited form: (1) accepting new patients who require controlled substance management of chronic pain conditions, (2) increasing dosages of controlled substances prescribed to current patients in the State of Arizona pending the outcome of a formal hearing or formal interview in this matter.

Divyesh G. Mehta, MD #30158- Surrender of License, Effective 4.17.19

William T. Meshier, MD#-15822-Respondent’s practice is restricted in that he shall not issue Medical Marijuana Certifications in the State of Arizona until he applies to the Executive Director and receives permission to do so. Effective 9-10-19

Daniel M. Merck, MD #49945- Surrender of License, Effective 7-12-2019

Ronald C. Miller, MD #43230- 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.

Robert Mindell, MD #18971- Surrender of License effective 03/06/2020

John W. Molina, MD #20789- Physician’s practice 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 Physician applies to the Board and receives permission to do so. Effective 4.16.19

Michael D. Moran, MD #54854-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.

Steven B. Moss, P.A. #4818- Surrender of License- Effective 5/29/19

Sharlet Murad, MD #29050- Surrender of License-Effective 10/9/19

Rogelio D. Naranja, MD #13156-Surrender. Effective 12-05-18.

Rama Narasimhan, MD#30253-Practice Limitation – (Non Disciplinary) – Physician is limited in that she shall not practice medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications until she applies to the Board and receives its affirmative permission to do.

Rodolfo C. Nellas, MD #12395- Surrender of License effective 7/10/2020

David E. Nielsen, MD #54814-Interim Practice Restriction – Respondent’s practice is restricted in that he may administer and prescribe controlled substance as part of the management of surgical patients in the operating and in preoperative areas of recovery areas at a hospital or surgical center. He shall not otherwise prescribe controlled substances and shall not prescribe to patients for use outside of hospital settings.

John Parsons, MD #46320- Surrender of License effective 03/06/2020

Alpen B. Patel, MD #47525- Surrender of License effective 02/07/2020

Manish J. Patel, MD #29685- 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.

Hugo R. Paulson, MD #49002- Surrender of License, Effective 7-12-19

Thomas J. Peters,MD #9582- Surrender of License effective 02/07/2020

Elena V. Plummer, MD#28734- Surrender of License-Effective 12.11.19

William F. Rees, MD#53589-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 pending of a formal hearing in this matter.

John G. Renfrew, MD#54908- 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.

Mark I. Roberts, MD #45322-Interim Practice Limitation – (Non Disciplinary) – Physician is prohibited from engaging in direct patient care and shall be limited to no more than 10 working hours per week in the State of Arizona until he applies to the Executive Director and receives

permission to do so.

Richard M. Roberts, MD #54596-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.

Ava Rose, MD #50321-Interim Practice Restriction. Respondent is prohibited from prescribing controlled substances in the State of Arizona until she requests release or modification from this Order.

Robert M. Rowlett, MD #52559-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.

David A. Ruben, MD #11382- Surrender of License, Effective 4.16.19

James M. C. Ryan, MD #53075-Revocation of License, Effective 8-16-19

Timothy C. Sapp, MD #30780- Revocation of License Effective 10/09/2020

Marvin C. Schneider, MD #4036-Surrender of License,. Effective 01-11-19.

Jeffrey L. Schwimmer, MD #7119- Interim Practice Limitation – (Non Disciplinary) – Physician 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 she applies to the Board and receives its affirmative permission to do

John J. Sears, MD # 27392- Surrender of License, Effective 4.16.19

Subodh S. Shroff, MD #37588-Surrender of License,. Effective 02-05-19.

Garey S. Simmonds, MD #23958- Request for License inactivation with Cause and Order Inactivating License with Cause, Effective 03-21-19.

Robert B. Smith, MD #6068- Surrender of License Effective 09/04/2020

Sean W. Smith, P.A. #5082- Revocation of license-Effective 7/3/19

Lisa A. Sparks, MD #13545-Interim Practice Restriction. Respondent is prohibited from prescribing controlled substances in the State of Arizona until she requests release or modification from this Order.

Stanley Stern, MD #14532- Surrender of License-Effective 12.11.19

Roman C. Stedman MD #R76163- 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.

William L. Sun MD#33617-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.

Reginald M. Sutton, MD# 29166-Surrender of License Effective 11-8-19

Marali D. Talluri, MD #19237-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.

Craig W. Tolleson, MD #36928-Revocation of License, Effective 2-15-19.

Albert R. Tuttle, PA #1138- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona as set forth in A.R.S.§ 32-2501 (13) pending the outcome of a formal interview or formal hearing in this matter.

Jill R. Utley, MD #42779-Interim Practice Limitation (NonDisciplinary) – Physician’s practice is limited in that she shall not practice medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications until the Physician applies to the Board and receives permission to do so.

Steven Vig, MD #13332- Surrender of License effective 03/06/2020

Michael G. Wade, MD #15797- 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.

Charles H. Wagoner, MD#6634- Surrender of License-Effective 12.11.19

Helen E. Watt, MD #22016-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.

Mark D. Williams MD #29945- Revocation-Effective 7-10-19

Kirk G. Williams, MD #13691-Interim Practice Limitation- (Non- Disciplinary). Physician 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 he applies to the Board and receives its affirmative permission to do.

Jeffrey M. Wolk, MD# 33318- Surrender of License- Effective 12.11.19

Adnan B. Zawawi, MD#47446-Interim Practice Limitation-(Non Disciplinary)-Physician 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 he applies to the Board and receives its affirmative permission to do.

Arizona Naturopathic Physicians Medical Board

Michael Miller, ND #12-1313-Surrender. Effective 11-06-18.

John Eldridge, ND #77-318- License Suspended 1-14-2020

Arizona Board of Osteopathic Examiners

Jeffrey Bushman, DO #2338- Restricted from prescribing class II-V controlled substances and is prohibited from executing written certificates or recommendations for medical marijuana.

Rose Gonzalez-Weaver, DO #2685- Complete revocation of license to practice Osteopathic Medicine in the State of Arizona.

Marc Grant, DO #1609- Permanently prohibited from prescribing controlled substances to any patient

Mark Griswold, DO #2799- Surrender of License effective 12/31/2019

Jamison Foster, DO# 006198- Suspension of license for 3 years from August 10,2019.

Mary Janikowski, DO#2596- Prohibited from executing written certifications or recommendations for medical marijuana.

Victor Kissil, DO#3735-Permanently prohibited from providing direct care to patients and treating patients in any clinical setting, including prescribing medication.

Valdon Landes, DO#5611- Prohibited from recommending, providing, prescribing, or issuing a written certificate for medical marijuana.

Julie Lynch, DO#6758- Complete Revocation of license to practice Osteopathic Medicine in the State of Arizona.

Robert Marouk, DO #3583- Interim Practice Restriction effective 12/18/2019

Jerry Olshan, DO#1376-Complete Revocation of license to practice Osteopathic Medicine in the State of Arizona.

Joseph Ring, DO#4529-Prohibited from prescribing medical marijuana during the term of their 3-year probation.

William Willis, DO#4742- License revoked effective 12/26/2019

Arizona Regulatory Board of Physician Assistants

Brian Arno Cody, PA #2142- Interim Practice Limitation (Non- Disciplinary). Respondent is prohibited from engaging in the practice of medicine in the State of Arizona as set forth in A.R.S. § 32-2501 (13) until he applies to the Board’s Executive Director and receives its affirmative permission to do so.Respondent may not apply for relief from this Practice Limitation until he has completed any current treatment program, has been found safe to perform health care tasks, and the Board is in receipt of any discharge report and recommendations for aftercare. This Order supersedes previous Interim Practice Limitation.

Todd A. Stirling, PA #5081-Interim Practice Restriction. Respondent is prohibited from engaging in healthcare tasks with physician supervision 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.

Arizona State Board of Dental Examiners

Charles A. Dodaro, DDS # D03434- License restricted in that he is prohibited from prescribing schedule II & III controlled substances for a minimum period of one year.

Arizona State Board of Nursing

Martha D. Barlow, RN #120689, AP4846- Voluntary Surrender effective 06/05/2020

Victoria Lynn Botens, RN #146194, AP2726- Voluntary Surrender effective 3/23/2020

Cristina Lynn Calfee, RN085317, AP3029 - Stayed Revocation with Suspension effective 06/30/2020

Mark Allen Hansen, RN # 12265, AP1758- Voluntary Surrender effective 02/21/2020

June 2020 (Quarterly Update)
Disciplinary Actions & Updates

Arizona Board of Pharmacy

Technicians

Joanna Beltran-Contreras (T058713) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Shalante Perry (T068254) - Consent Agreement for Civil Penalty. License issued upon payment of $250.00 civil penalty.

Katelyn Bahozhoni Yazzie (T062276) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Andrea Monique James (T060062) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Kayla Marie Hodge (T059381) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Tomselyn Agnes Tso (T058149) – Decision and Order. License Revoked.

Steven Alexander Nazari (T057983) – Decision and Order. License Revoked.

Gregory E. Miller (T004398) – Decision and Order. License Revoked.

Lafayette Edward Baker (T059571) – Decision and Order. License Revoked.

Juliandimel Vargas (No #) – Denial of Application for Licensure as a Pharmacy Technician Trainee.

Everlene Yazzie (No #) – Denial of Application for Licensure as a Pharmacy Technician Trainee.

Carol K. Schroeter (T037713) - Consent Agreement for Civil Penalty, Continuing Education and Audit.

Dominique Canaya Tacan (T027117) - Consent Agreement for Civil Penalty, Continuing Education and Audit.

Ashley Nicole Rohlfing (T040952) – Consent Agreement for Voluntary Surrender of License. License Surrendered.

Tiffany Rivera (T057636) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Sean Thomas Nielsen Martel (T057960) – Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Cody David Hanna (T015731) - Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Joseph Ryan Hibst (T058330) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Michele Lynn Fairbank (T051831) – Decision and Order. License Revoked.

Miguel Angel Lebron (T059566) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Jacob Gher (T056376) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Joshua Meagher (T033591) - Interim Findings of Fact, Conclusions of Law, and Order for Summary Suspension of License.

Nishma Patel (T045683) – Decision and Order. License Revoked.

Lorissa Renea Peoples (T055892) – Decision and Order. License Revoked.

Kristine Marie Thomas (T055742) – Decision and Order. License Revoked.

Khalil Damesh Medley (T056249) – Decision and Order. License Revoked.

Gregory Crevelt (T056847) – Decision and Order. License Revoked.

Keaton Benton Brown (T061845) – Decision and Order. License Revoked.

Marissa Butler (T054750) – Decision and Order. License Revoked.

Megan Lynsey Loya (T055038) – Decision and Order. License Revoked.

Billy Ramses Lara (T056083) – Decision and Order. License Revoked.

Julieanna Sylvia Ayala (T055960) – Decision and Order. License Revoked.

Viridiana Frausto (T059485) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Kyle Smith (T059527) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Paige Renee McCracken (T061431) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Sarah Danelle Lauren Bright (T035838) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Katrina Louise Milofsky (T064987) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Patrick Ray Crews (T040778) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Joseph Alexander Clark (T060916) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Brad Coffey Jacobs (T039776) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Vanessa Lopez-Aho (T053948) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Shyla Goodman (T059550) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Kori Hale (T033183) – Consent Agreement for Continuing Education. The consent agreement includes three hours of continuing education.

Nancymarie Duarte Jacques (T062556) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Brian Gregory Dake (T064812) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Ariann Moore (T061892) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Eliza Marie Diaz (T037673) - Consent Agreement for Continuing Education. The consent agreement includes six hours of continuing education.

Frank Martin III (T045563) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Interns

Bradon Michael Magnus (I012209) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Pharmacists

Monte Lewis (S019926) – Decision and Order. License Revoked.

Jami Dawn Pitts (S016776) – Interim Consent Agreement and Order for Voluntary Suspension. License Suspended.

Lawrence C. Rush, Jr. (S020309) - Consent Agreement for Civil Penalty. The consent agreement includes a $500.00 civil penalty.

Michael Edward Milad Tadros (S019598) – Consent Agreement and Order for Probation. Probation for twenty-six months.

Dorian Mercedes Foster (S021101) - Consent Agreement and Order for Voluntary Surrender of License. License Surrendered.

Nathan J. Duke (S011549) - Interim Consent Agreement for Substance Use Evaluation (Including Drug Testing) and Interim Suspension of License.

Allan William Bates (S013193) – Consent Agreement and Order for Probation. Probation for five years.

Michael Abraham (S012799) – Consent Agreement for Voluntary Surrender of License. License Surrendered.

Mohamed Eslam Elmissirey (S015982) - First Amendment to the Consent Agreement and Order of Suspension Followed by Probation.

Jacob Thomas Russell (S015590) - Consent Agreement for Continuing Education. The consent agreement includes six hours of continuing education.

Permits

MedOne Healthcare (C001860) - Consent Agreement for Civil Penalty. Permit issued after payment of $200.00 civil penalty.

PharMEDium Services, LLC (M000343, M000104, M000105, M000106) – Consent Agreement and Order for Voluntary Surrendered. Permits Surrender.

Walgreens #04077 (Y005064) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,000.00 civil penalty.

Guaranteed Returns (W001120) - Consent Agreement for Probation and Civil Penalty. Probation for two years. $15,000.00 civil penalty.

Disciplinary Actions and Updates – Other Health Boards

UPDATED LIST

Arizona Medical Board

Michael Abraham, PA #5934-Interim Practice Restriction – Respondent shall not prescribe controlled substances in the State of Arizona and shall not have access to controlled substances in the workplace during the period of this Order.

Mark A. Abramovich, MD #35225- Surrender of license effective 02/07/2020

Terrence J. Adam, MD #33382-Interim Practice Limitation- (Non- Disciplinary). Physician 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 he applies to the Board and receives its affirmative permission to do.

Paul A. Aupperle, MD#30485-Request for License Inactivation with Cause and Order Inactivating License with Cause- effective 05/24/19

Jujhar S. Bains, MD #54547-Interim Practice Limitation- (Non- Disciplinary). Physician 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 she applies to the Board and receives its affirmative permission to do.

James C. Barsz, MD #12365- Surrender of License, Effective 9-13-19

Marc A. Bauder, MD #15235- Surrender of License effective 5/8/2020

Rajeev Billing, MD #55813- 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.

Napoleon R. Bravo, MD #42672-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.

Aldemir T. Coelho, M.D. # 12445- Respondent’s license to practice allopathic medicine in the State of Arizona is summarily suspended. Respondent is prohibited from practicing medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications or injections of any kind.

Steven Cohen, MD #28261-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.

Gordon J. Cuzner, MD #17172- Surrender of License Effective 11-8-19

Sharron Jones-Daggett, MD #47737-Interim Practice Limitation- (Non- Disciplinary). Physician 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 she applies to the Board and receives its affirmative permission to do so.

Salim O. Dahdah, MD #51630-Surrender of License, Effective 03-08-19.

Luis S. Dalmendray, MD# 6475-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.

Damon M. Dell”aglio, MD #56560- 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.

Karnail S. Dhillon, MD #27921-Respondent is restricted in that he is prohibited from prescribing controlled substances until he has completed the required CME, enters into an Agreement with a Board-approved monitor to conduct chart reviews and provides satisfactory proof of compliance with these requirements. Effective 2-5-19.

Gordon T. Doneskey, M.D. #15879- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Sean P. Elliot, MD# 27986-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.

Lisa S. Emmans, MD#29814- Request for License Inactivation with Cause and Order Inactivating License with Cause- effective 08/28/19

James H. Evans, MD #28668-Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances or acting as a Supervising Physician in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Scot G. Fechtel, MD #25410- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter or until Respondent has made a written request for release as stated in paragraph 2 below

Norman M. Fernando, MD #15894- Revocation of License effective 06/12/2020

Kenneth M. Fisher, MD #12762- Surrender of License Effective 01/09/2020

Tom R. Fitch, MD# 17602-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 so.

Cynthia G. Funckes, MD #25845- Surrender of License Effective 11-8-19

Phillip E. D. Gear, MD # 15896- Surrender of License Effective 11-8-19

Paresh Goel, M.D. # 44344- 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.

Stephen J. Graham, MD #19987-Interim Practice Limitation – (Non Disciplinary) – Physician 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 he applies to the Board and receives its affirmative permission to do so.

Susan B. Greger, MD #47822-Respondent’s practice is restricted in that she shall not practice medicine in the state of Arizona and is prohibited from prescribing any form of treatment including prescription medications until the Respondent applies to the Board and receives permission to do so. Effective 4.16.19

Michael L. Ham, MD #26357- 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.

Kimberly A. Hart, PA#5631- Revocation of License – Effective 7/1/20

Connie Hoh, MD#45182- 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.

Joshua D. Holland, MD #17551- Respondent’s license to practice allopathic medicine in the State of Arizona is summarily restricted. Respondent is prohibited from prescribing, administering or dispensing controlled substances or weight loss medication until he applies to the Board and receives permission to do so.

Simon B. Isaac, MD #46865-Surrender of License-Effective 10/9/19

Ginece J. Jackson, MD #54090- Interim Practice Limitation – (Non Disciplinary) – Physician 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 he applies to the Board and receives its affirmative permission to do

Lois A. Jensen, MD #46948-Surrender of license-Effective 12.11.19

Gerald R. Keenan, P.A. #5593-Surrender of License-Effective 5/29/19

Skye C. King MD #R75477-Surrender of License-Effective 3-08-19.

David P. Knapp MD #22830- Surrender-Effective 6-4-19

David G. Lawson, MD #231455- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Eun M. Lee, MD #29485- Surrender of License- Effective 01/09/2020

Stephen E. Lindstrom, MD #7585-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.

Ming-Jai Liu, MD #47701-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.

Kang Lu, MD #45228-Respondent's license to practice allopathic medicine in Arizona is summarily suspended in that Respondent is prohibited from practicing medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications or injections of any kind. Revocation-Effective 7-10-19

Madonna Mallari ,MD #33207-Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a formal interview or formal hearing in this matter.

Andrew K. McBride, PA #7443-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.

Cederic W. McClinton, MD #12711- Revocation of License effective 4/10/20

Divyesh G. Mehta, MD #30158- Surrender of License, Effective 4.17.19

William T. Meshier, MD#-15822-Respondent’s practice is restricted in that he shall not issue Medical Marijuana Certifications in the State of Arizona until he applies to the Executive Director and receives permission to do so. Effective 9-10-19

Daniel M. Merck, MD #49945- Surrender of License, Effective 7-12-2019

Ronald C. Miller, MD #43230- 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.

Robert Mindell, MD #18971- Surrender of License effective 03/06/2020

John W. Molina, MD #20789- Physician’s practice 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 Physician applies to the Board and receives permission to do so. Effective 4.16.19

Michael D. Moran, MD #54854-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.

Steven B. Moss, P.A. #4818- Surrender of License- Effective 5/29/19

Sharlet Murad, MD #29050- Surrender of License-Effective 10/9/19

Rogelio D. Naranja, MD #13156-Surrender. Effective 12-05-18.

Rama Narasimhan, MD#30253-Practice Limitation – (Non Disciplinary) – Physician is limited in that she shall not practice medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications until she applies to the Board and receives its affirmative permission to do.

Rodolfo C. Nellas, MD #12395- 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.

David E. Nielsen, MD #54814-Interim Practice Restriction – Respondent’s practice is restricted in that he may administer and prescribe controlled substance as part of the management of surgical patients in the operating and in preoperative areas of recovery areas at a hospital or surgical center. He shall not otherwise prescribe controlled substances and shall not prescribe to patients for use outside of hospital settings.

John Parsons, MD #46320- Surrender of License effective 03/06/2020

Alpen B. Patel, MD #47525- Surrender of License effective 02/07/2020

Hugo R. Paulson, MD #49002- Surrender of License, Effective 7-12-19

Thomas J. Peters,MD #9582- Surrender of License effective 02/07/2020

Elena V. Plummer, MD#28734- Surrender of License-Effective 12.11.19

William F. Rees, MD#53589-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 pending of a formal hearing in this matter.

John G. Renfrew, MD#54908- 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.

Mark I. Roberts, MD #45322-Interim Practice Limitation – (Non Disciplinary) – Physician is prohibited from engaging in direct patient care and shall be limited to no more than 10 working hours per week in the State of Arizona until he applies to the Executive Director and receives

permission to do so.

Richard M. Roberts, MD #54596-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.

Ava Rose, MD #50321-Interim Practice Restriction. Respondent is prohibited from prescribing controlled substances in the State of Arizona until she requests release or modification from this Order.

Robert M. Rowlett, MD #52559-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.

David A. Ruben, MD #11382- Surrender of License, Effective 4.16.19

James M. C. Ryan, MD #53075-Revocation of License, Effective 8-16-19

Timothy C. Sapp, MD #30780- Respondent’s license to practice allopathic medicine in the State of Arizona is summarily restricted. Respondent is prohibited from prescribing controlled substances in the State of Arizona pending the outcome of a Formal Hearing in this matter.

Marvin C. Schneider, MD #4036-Surrender of License,. Effective 01-11-19.

Jeffrey L. Schwimmer, MD #7119- Interim Practice Limitation – (Non Disciplinary) – Physician 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 she applies to the Board and receives its affirmative permission to do

John J. Sears, MD # 27392- Surrender of License, Effective 4.16.19

Subodh S. Shroff, MD #37588-Surrender of License,. Effective 02-05-19.

Garey S. Simmonds, MD #23958- Request for License inactivation with Cause and Order Inactivating License with Cause, Effective 03-21-19.

Sean W. Smith, P.A. #5082- Revocation of license-Effective 7/3/19

Lisa A. Sparks, MD #13545-Interim Practice Restriction. Respondent is prohibited from prescribing controlled substances in the State of Arizona until she requests release or modification from this Order.

Stanley Stern, MD #14532- Surrender of License-Effective 12.11.19

Roman C. Stedman MD #R76163- 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.

William L. Sun MD#33617-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.

Reginald M. Sutton, MD# 29166-Surrender of License Effective 11-8-19

Marali D. Talluri, MD #19237-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.

Craig W. Tolleson, MD #36928-Revocation of License, Effective 2-15-19.

Albert R. Tuttle, PA #1138- Interim Practice Restriction – Respondent is prohibited from prescribing controlled substances in the State of Arizona as set forth in A.R.S.§ 32-2501 (13) pending the outcome of a formal interview or formal hearing in this matter.

Jill R. Utley, MD #42779-Interim Practice Limitation (NonDisciplinary) – Physician’s practice is limited in that she shall not practice medicine in the State of Arizona and is prohibited from prescribing any form of treatment including prescription medications until the Physician applies to the Board and receives permission to do so.

Steven Vig, MD #13332- Surrender of License effective 03/06/2020

Michael G. Wade, MD #15797- 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.

Charles H. Wagoner, MD#6634- Surrender of License-Effective 12.11.19

Helen E. Watt, MD #22016-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.

Mark D. Williams MD #29945- Revocation-Effective 7-10-19

Kirk G. Williams, MD #13691-Interim Practice Limitation- (Non- Disciplinary). Physician 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 he applies to the Board and receives its affirmative permission to do.

Jeffrey M. Wolk, MD# 33318- Surrender of License- Effective 12.11.19

Adnan B. Zawawi, MD#47446-Interim Practice Limitation-(Non Disciplinary)-Physician 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 he applies to the Board and receives its affirmative permission to do.

Arizona Naturopathic Physicians Medical Board

Michael Miller, ND #12-1313-Surrender. Effective 11-06-18.

John Eldridge, ND #77-318- License Suspended 1-14-2020

Arizona Board of Osteopathic Examiners

Jeffrey Bushman, DO #2338- Restricted from prescribing class II-V controlled substances and is prohibited from executing written certificates or recommendations for medical marijuana.

Rose Gonzalez-Weaver, DO #2685- Complete revocation of license to practice Osteopathic Medicine in the State of Arizona.

Marc Grant, DO #1609- Permanently prohibited from prescribing controlled substances to any patient

Mark Griswold, DO #2799- Surrender of License effective 12/31/2019

Jamison Foster, DO# 006198- Suspension of license for 3 years from August 10,2019.

Mary Janikowski, DO#2596- Prohibited from executing written certifications or recommendations for medical marijuana.

Victor Kissil, DO#3735-Permanently prohibited from providing direct care to patients and treating patients in any clinical setting, including prescribing medication.

Valdon Landes, DO#5611- Prohibited from recommending, providing, prescribing, or issuing a written certificate for medical marijuana.

Julie Lynch, DO#6758- Complete Revocation of license to practice Osteopathic Medicine in the State of Arizona.

Robert Marouk, DO #3583- Interim Practice Restriction effective 12/18/2019

Jerry Olshan, DO#1376-Complete Revocation of license to practice Osteopathic Medicine in the State of Arizona.

Joseph Ring, DO#4529-Prohibited from prescribing medical marijuana during the term of their 3-year probation.

William Willis, DO#4742- License revoked effective 12/26/2019

Arizona Regulatory Board of Physician Assistants

Brian Arno Cody, PA #2142- Interim Practice Limitation (Non- Disciplinary). Respondent is prohibited from engaging in the practice of medicine in the State of Arizona as set forth in A.R.S. § 32-2501 (13) until he applies to the Board’s Executive Director and receives its affirmative permission to do so.Respondent may not apply for relief from this Practice Limitation until he has completed any current treatment program, has been found safe to perform health care tasks, and the Board is in receipt of any discharge report and recommendations for aftercare. This Order supersedes previous Interim Practice Limitation.

Todd A. Stirling, PA #5081-Interim Practice Restriction. Respondent is prohibited from engaging in healthcare tasks with physician supervision 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.

Arizona State Board of Dental Examiners

Charles A. Dodaro, DDS # D03434- License restricted in that he is prohibited from prescribing schedule II & III controlled substances for a minimum period of one year.

Arizona State Board of Nursing

Victoria Lynn Botens, RN #146194, AP2726- Voluntary Surrender effective 3/23/2020

Mark Allen Hansen, RN # 12265, AP1758- Voluntary Surrender effective 02/21/2020

March 2020 (Quarterly Update)
Disciplinary Actions & Updates

Arizona Board of Pharmacy

Technicians

Candida Venzor (T054932) – Consent Agreement and Order for Voluntary Surrender. License Surrendered.

Kevin Dale Orth (T039493) – Consent Agreement and Order for Voluntary Surrender. License Surrendered.

Anastasiya Nichole Davis (T041688) – Consent Agreement for Voluntary Surrender of License. License Surrendered.

Joel Soto Grajeda (T060172) – Consent Agreement and Order for Voluntary Surrender. License Surrendered.

Dominique Canaya Tacan (T027117) – Consent Agreement for Civil Penalty and Continuing Education.

Elizabeth Ann Doolittle (T002680) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Michele Lynn Fairbank (T051831) - Interim Findings of Fact, Conclusions of Law and Order for Summary Suspension of License. License Suspended.

Steven Alexander Nazari (T057983) – Amended Interim Findings of Fact, Conclusions of Law and Order for Summary Suspension of License. License Suspended.

Kyle Thomas Gladstone (T048617) – Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Jordan Barry Lisiesky (T067567) – Consent Agreement for Civil Penalty. License issued upon payment of a $250.00 civil penalty.

John Wayne Welch (T060413) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Adam Craig Brewer (T039475) - Decision and Order. License Revoked.

Phillip Charles Biczo (T011840) - Decision and Order. License Revoked.

Michelle Blair Kriske (T034509) - Decision and Order. License Revoked.

Champaigne Delgado (T050886) - Decision and Order. License Revoked.

Mohamed Mohamud Farah (T053823) - Decision and Order. License Revoked.

Bonnie Joy Rope (T042250) - Decision and Order. License Revoked.

Noah Cole Stanton (T046112) - Decision and Order. License Revoked.

Clint Edward Waters (T050412) - Decision and Order. License Revoked.

Clint Edward Waters (No #) – Technician License Application Denied.

Paula Perez (T020031) - Decision and Order. License Revoked.

Michael Lopez, Jr. (T032583) - Decision and Order. License Revoked.

Taylor Johnson (T056078) – Reapply Application Denied.

Tariq Ilias Muhammad (No #) – License Application Denied.

Adam Ray Lane (T055292) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Mckenzee Elaine Menefee (T062374) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Evany Lea Valenzuela (T033139) - Consent Agreement for Civil Penalty. License renewed upon payment of $250.00 civil penalty.

Gisell Rubi Hernandez (T067089) - Consent Agreement for Civil Penalty. License issued upon payment of $300.00 civil penalty and completion of three hours of CE in law.

Jennifer Jane McMahon (T066710) - Consent Agreement for Civil Penalty. License issued upon payment of $300.00 civil penalty and completion of three hours of CE in law.

Michael Craig Devitt (T063171) - Interim Findings of Fact, Conclusions of Law and Order for Summary Suspension of License. License Suspended.

Raymond Beltran (T034461) - Decision and Order. License Revoked.

Jeremy Lopez Guerrero (T055285) - Decision and Order. License Revoked.

Ignacio Eduardo Ruiz (T032756) - Decision and Order. License Revoked.

Matthew Mark Hawley (T001784) - Decision and Order. License Revoked.

Ashley Dawn Sangster (T018995) – Decision and Order. Stayed revocation of license. Licensee must submit a renewal application, proof of compliance with continuing education requirements and payment of a $300.00 civil penalty within 90 days.

Christina Marie Clemons (T022438) – Interim Consent Agreement for Voluntary Suspension of License and Psychological Evaluation. License Voluntarily Suspended.

Jo Ann White (T057588) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Dana Kay Jones (T058451) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Randy Ray Reed (T006348) – Consent Agreement. License Revoked. Revocation stayed for six months. $250.00 civil penalty due within six months or stay lifted.

Kamalpreet Kaur Bal (T057513) – Stay lifted. License Revoked.

Ashley Snow (T056257) - Stay lifted. License Revoked.

Ashley Nichole Pieratt (T064936) – Consent Agreement and Order for Voluntary Surrender. License Surrendered.

Ezequiel G Terraza (T058670) – Consent Agreement and Order for Voluntary Surrender. License Surrendered.

Mohamad Ali O'Connell (T052609) – Consent Agreement for Voluntary Surrender of License. License Surrendered.

Daniela Rene Carranza (T027371) – Consent Agreement and Order for Probation and Monitoring. Probation for one year.

Jennie Marie Richards (T023525) - Consent Agreement for Probation and Monitoring. Probation for twelve months.

Jack Wilson (T027148) - Consent Agreement for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Pharmacists

Chad E. Harrison (S018400) – Interim Consent Agreement and Order for Voluntary Suspension.

Michael Ira Smith (S013524) - Consent Agreement for Voluntary Surrender of License. License Surrendered.

Harish Venugopalan Nair (S012763) – Consent Agreement and Order for Suspension and Probation. License placed on probation for 55 months.

Ashwin Waghray (S015225) – Consent Agreement and Order for Probation. License placed on probation for two years.

Amanda Marie Orloski (S013968) – Decision and Order. License Revoked.

Lucas Kimang'a Nyabero (S016395) - Amended Consent Agreement for Civil Penalty, Administrative Fees, and Order for Probation.

Chi Quynh Tran (S020928) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $250.00 civil penalty.

Mohamed S. Hassanein-Elembabi (S016520) – First Amendment to the Consent Agreement and Order of Suspension Followed by Probation. Probation for four years.

Paul Gurevich (S013408) – Consent Agreement and Order for Suspension and Probation. License suspended for six months. After the suspension is lifted, license on probation for four years and six months.

Edward L. Zeilnhofer (S013710) – License Renewal Application Denied.

Permits

Walgreens Drug #09292 (Y004364) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,000.00 civil penalty.

CVS Pharmacy #03749 (Y003679) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,000.00 civil penalty and re-inspection within 90 days.

CVS/pharmacy #07115 (Y004266) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,000.00 civil penalty.

PharMerica (Y007461) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,500.00 civil penalty.

NewSpring Pharmacy LLC (Y005594) - Amended Consent Agreement for Civil Penalty, Administrative Fees, and Order for Probation. Pharmacy Closed.

McKesson Medical - Surgical Inc. (W000469) - Consent Agreement and Order for Civil Penalty. The consent agreement includes a $1,000.00 civil penalty.

Marian Pharmaceuticals (Y007311) – Consent Agreement and Order for Surrender. Permit Surrendered.

Park Compounding, Inc. (Y006314) – Consent Agreement and Order for Surrender. Permit Surrendered.

Lincare Inc. (C000536, C001130, W002434) – Consent Agreement and Order for Probation. Probation until March 6, 2020. Re-inspection at cost of permit holder.

Crown Laboratories, Inc. (M001475) – Consent Agreement and Order for Civil Penalty. Permit issued upon payment of $250.00 civil penalty.

Arizona Medical Board

Mark A. Abramovich, MD #35225- Surrender of license effective 02/07/2020

Marc A. Bauder, MD #15235- Respondent’s license to practice allopathic medicine in the State of Arizona is summarily suspended. Respondent is prohibited from practicing medicine in the State of Arizona and is prohibited from prescribing any form of treatment

including prescription medications or injections of any kind.