Agenda Board of Medical Licensure and Supervision July 25, 2013
This meeting of the Board will be held at the office of the Board, 101 NE 51st Street, Oklahoma City, Oklahoma in accordance with the Administrative Procedures Act and Open Meeting Act of Oklahoma. *INDIVIDUAL PROCEEDINGS: Review and action on all agenda items noted for individual proceedings. In all agenda items noted for individual proceedings, a majority of a quorum of Board members, in a recorded vote, may call for closed deliberations for the purpose of engaging in formal deliberations leading to an intermediate or final decision in an individual proceeding under the legal authority of Oklahoma state statutes, to wit: Article II of the Oklahoma Administrative Procedures Act, 75 O.S. §309 and the Oklahoma Open Meeting Act, 25 O.S. §307(B)(8).
9:00 A.M. ___
Meeting called to order
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Opening remarks – Lyle Kelsey, Executive Director
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Board Advisor Comments: John Wiggins, JD
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Election of officers – President and Vice President
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Termination of Agreements: Kimberly Anne Nelson, PTA Andrew Bussman OT Michelle Lee, OTA Thomas Bradley Clark MD Brandon Dionne, AT
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*Jeremy M. Boucher, MD - Motion for modification of terms of probation
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*Karis Bernhardt, MD - Motion for modification of terms of probation
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*L. Sam Musallam, MD - Motion for termination of probation
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*Kimberlee R. Mixon, PA - Motion for modification of terms of probation
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*James Eric Dennemeyer – Applicant, full medical license
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*Michael Steven Mancina – Applicant, full medical license
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*Gregory Charles Khoury – Applicant, reinstatement of medical license after surrender
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*Donna Scuderi Given – Applicant, full medical license
1
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*Glena Mackey - applicant, reinstatement of Occupational Therapist licensure after revocation
11:00 A.M. ___
*Alexander Frank, MD – Disciplinary hearing alleging dishonorable/immoral conduct, prescribing violations, CDS law violations, records violations, failure to establish a physician/patient relationship, and failure to provide a proper/safe medical facility setting
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*Farshid Adam-Amir Zandi, MD – Disciplinary hearing alleging fraud or misrepresentation in applying for reregistration of license and use of false/fraudulent/deceptive statements in a document connected to the practice of medicine
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*Diane Aliene Castro, OTA – Disciplinary hearing alleging obtaining license by fraud and violation of rules of the Board regarding continuing education
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*Robert Miles Chisholm, III, MD – Disciplinary hearing alleging failure to provide necessary on-going medical treatment, failure to transfer medical records in a timely fashion, improper management of medical records, failure to furnish lawfully requested information to the Board and failure to cooperate with a lawful investigation conducted by the Board
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*Shon Wylie McBride, PTA – Disciplinary hearing alleging violation of terms of probation
1:00 P.M. ___
*Holly Tina Myers, RC – Disciplinary hearing alleging violation of terms of probation
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*Koteswar Sureddi, MD – Disciplinary hearing alleging dishonorable/immoral conduct, prescribing violations, narcotic law violations, records violations, failure to establish a physician/patient relationship, and procuring/aiding/abetting a criminal operation
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*Diana Hager, MD – Disciplinary hearing alleging dishonorable/immoral conduct, confession of a crime involving antinarcotic laws, prescribing violations, narcotic law violations, medical records violations, and failure to establish a physician/patient relationship
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*Timothy John Hill, MD – Disciplinary hearing alleging dishonorable/immoral conduct, substance abuse, prescribing violations, narcotic law violations, records violations, failure to establish a physician/patient relationship, and failure to provide a proper/safe medical facility setting
2
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*Catherine Louise White, MD – Disciplinary hearing alleging incapacity or incompetence to practice medicine UNSCHEDULED ITEMS
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Review/action - minutes of the June 27, 2013 meeting
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Ratify applications approved by the Secretary/circularization (attached to agenda)
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Review/action –Committee recommendations – handouts Advisory Committee on Dietetic Registration Occupational Therapy Advisory Committee Advisory Committee on Orthotics and Prosthetics Physician Assistant Advisory Committee
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Appoint member – Physical Therapy Committee [One PT member needed]
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Appoint member – Advisory Committee on Dietetic Registration [One LD member needed]
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Review/action – Board policies Policy on Social Media Fraternization Policy
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Review/action – Budget for Fiscal Year 2014
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Telemedicine in Oklahoma – Discussion – Dr. Sullivan
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Executive Director's report to the Board
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Executive Session for the purpose of confidential communications between the Board and its attorney concerning the Executive Director pursuant to 25 O.S. § 307 (B) (1)
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New Business – any matter not known about or which reasonably could not have been foreseen prior to the time of posting
3
Oklahoma State Board of Medical Licensure and Supervision Licenses Issued From 6/28/2013 To 7/23/2013 MEDICAL DOCTOR 25851 HICKS, BENJAMIN LOY 27786 SRAN, MANJIT SINGH 27791 BRAR, PAVAN 28195 HEU, MAY KOU 28287 LOUIE, MATTHEW R JEN-TEH 28306 LU, WEIXIN 28338 BOSWELL, THOMAS SMITH 28397 MURILLO, JOSE JR 28400 PATEL, AATISH MUKESH 28401 TSENG, JAY 28403 WALIA, REUBEN 28404 SPECHLER, PAUL ANDREW 28407 LE, HUNG QUANG 28408 FORBESS, RYAN ASHLEY 28409 ELSAKKA, MOSTAFA SOLIMAN 28413 LAZAR, DAVID LAWRENCE 28415 SANGHERA, PRATEEK 28416 CORY, BRIAN RICHARD 28423 DARWISH, AHMED ATTA 28424 BROWN, JENNIFER GENEVA 28428 HERSHBERGER, DAMEN W 28434 POLIZZI, DAVID JOSEPH 28441 RAVIPATI, VIJAY 28442 WINKLER, KYLE LEONARD 28456 FORGHANI, IRMAN 28458 MOOSSAVI, NAZANIN 28460 SINGHAL, AKHIL 28464 PARK, GERALD CHUNYOUNG 28476 EGBE, SUSAN MANYI 28483 NWOKENKWO, STANLEY C 28492 SEARING, RAPHA ANNE 28494 ROBERTS, JORDAN ELISABETH 28495 MILAVEC, JADE TERRANCE 28496 MAKWANA, SOHIL RASIK 28510 RABBANI, AFFAN WAJAHAT 28511 PHAN, MINH DUC 28512 CABLER, JENNIFER ERIN 28513 JATALA, SUMMER ZAHRA 28515 GUPTA, KRITI OMPRAKASH 28518 BAKER, AFTEN MICHELLE 28532 DAVE, MITALI DUSHYANT 28535 ZAHEER, SARAH 28539 INTURI, ROHITHA 28541 KANNADAN, TANIA TOMY 28542 PATEL, NIMA BHOLABHAI 28543 SURIA, HALIMA NAEEM 28549 GEORGE, AUGUSTINE 28559 CAMPBELL, MATTHEW DAVID 28570 KAUR, NAVNIDHI
28576 28583 28586 28602 28610 28613 28618 28621 28623 28624 28628 28629 28651 28660 28663 28666 28672 28683 28710 28720 28902 29074 29086 29089 29094 29105 29109 29110 29120 29126 29140 29141 29143 29146 29151 29152 29156 29159 29171 29172 29173 29174 29175 29179 29181 29182 29183 29184 29190
MORRIS, BLAKE TYLER GUERRA, MEGAN CASKEY SANCHEZ, ANNA JESSICA SONI, SACHIN JYOTISH FARRUKH, OMAR USAMAH MAYMANI, HOSSEIN PODDAR, KARAN EKAMBARAM, V PHILLIPS, THOMAS POOLE JR LEWIS, KRISTIN CAMILLE HEBERT, REID DANIEL POGGI, LUCIANO MEDINA, ANDRIA PARKER MELSON, SCOTT C BALLA, FADI MOHAMED SINGH, MONICA HART, NATALIE CARVER SHOCKLEY, COURTNEY R ABRAHAM, LINTA KURIAN MAHMOOD, ARIF MCDONALD, DANIEL PAUL MCCALL, KRISTOPHER BLAKE CORN, S. DANIEL NGUYEN, TONY TAN FLANDERS, SARAH BETH MARTINEZ, MATHEW T ARBOGAST, KELSEY LYNN EGBERT, BRANDON PARRIS MILES, AMANDA JO CLAIBORNE, PAUL MICHAEL LANDRY, JACOB EDWARD DOLPH, EMANUEL RANSOM PARK, AUBREY LYNELL BENHAM, AARON FLETCHER SRIMUSHNAM, MAYA IRENE COOPER, EMILY JANE BONDS, MORGAN MICHELLE BAKER, JENNIFER MARIE ANDERLIK, LISA ERIN CRISLIP, ZACHARY LYNN HOFFMANN, JAMES ROBERT KELSHEIMER, BRADLEY DEAN LANDMANN, ALESSANDRA WILLIAMS, ROBERT ANDREW ACHILEFU, CHIDI NNAMDI HOLDER, RANDALL PEYTON GEORGY, MIRA IBRAHIM DUVALL, JACLYN R OMOUMI, FARHAD DANIEL
29192 29193 29198 29204 29207 29212 29213 29216 29217 29221 29222 29223 29224 29225 29228 29232 29234 29259 29267 29270 29271 29272 29273 29279 29304 29308 29314 29316 29319 29325 29326 29343 29349 29364 29366 29386 29392 29478 29689 29690 29725 29785 29831 29841 29847 29860 29866 29876 29885
KELLY, DREW PATRICK THOMAS, MATTHEW R KNIGHT-BROWN, MIRANDA D HENSON, CHRISTINA ELISE PORTER, CARA LYNN HADDAD, JOSEPH ANDREW BILLINGS, BRYAN LAWRENCE HAGEN, JONATHAN TAYLOR LUDWIG, AYUMI WILSON, ANDREW ARMOUR GALLEGOS, LOAHN KELLEY KNOTTS, DEREK JAMES LEE, CINDY FAST, PETER CHARLES LORENTS, EVELYN MEYERS MARNELL, MARTA ELIZABETH JOHNSON, JON MARK II DAVIS, LACY STEPHENS BUTCHEE, RYAN DANIEL MANNEL, LISA MICHELLE KRAUSE, JEFFREY ALLAN WEAVER, NATALIE JEAN ROWLETT, ROBERT MITCHELL NELSON, CLAYTON ELLIS STEGER, BRANDON DANIEL LANDT, JESSICA MIKI STRICKLAND, ALLISON E HIEBERT, JARED CRAIG SMITH, NATHAN JACKSON NGUYEN, MARGUERITE ANNA CADENHEAD, KRYSTINA LYNN LI, JOSHUA CALEB HURST, MELISSA MARIE CHENOWETH, BRIAN ALAN WELSH, BRIAN DAVID SINGH, AVANTIKA MORGAN, ERIN ELIZABETH YOUNG, MATTHEW STEPHEN BARAJAS, LUIS ANTONIO GABEL, ANDREA LYNN BRADY, LYNDA M BOXER, NICOLE SHARON MCKEITH, JAMES JOHN MOEINOLMOLKI, BABAK BENNETT, GREGORY DANIEL AGRAWAL, RAVI WEDMAN, MATTHEW BLAKE LANSINGER, YURI CHUN SHERMAN, JANET HOPE
29891 29896 29900 29912 29914 29921 29943 29985 29996 30030 30044 30048 30051 30058
MCKEE, MEREDITH ALLISON URSO, RICHARD STEVEN MARTENS, KEVIN JASON WIITA, SANDRA KAY PATEL, ATISH BRAMLETTE, JAMES GLENN S BERGEN, WILLIAM STEVEN TAN, JEREMY FRANCIS HAILE, MORGAN CHEATHAM ISLAM, SHERAZAD YAMANE, SHANE SEIJI STEWART, DOUGLAS BLAN LALL, VIKAS JOHNSON, ROBERT LOWELL
30074 30082 30085 30091 30094 30095 30097 30098 30106 30107 30109 30112 30113 30120
RANA, ZAIGHUM RODNEY, JENNIFER PAMELA JOFFE, RENATA BHANDERI, SUDIPKUMAR K POLLARD, CASEY WADE BUENAFE, MARITES CARREON WEHLE, DANIELLE MARIE BOLEK, LUKE AL SHIKH HASAN, MOSAAB PASHA, JABRAAN SAJJAAD VEACH, PAUL ANTHONY NEAGU, VALERIU RARES NEAGU, FLORINA GABAEFF, DINA ROBIN
30121 30127 30128 30129 30130 30131 30132 30135 30136 30141 30147 30166 30187
SONNI, SMITHA POOPAT, CHAD KANG, JOSEPH INSUNG AGGARWAL, DEEPAK YEBOAH, KWABENA SHERIF, KHALED ALI B WOLF, SHERRY VEDAMANI, SHAWN R BLOOM, DAVID ARI KRAUS, RICHARD KENT JR COOKSON, MICHAEL SHAWN HASHIM, ABDELAZIM OSMAN TIBA, MELIK T
Occupational Therapy Assistant 1333 BERMAN, ASHLEY BROOKE 1377 LAWRIE, LASHON DENISE
1389 LARKINS, MICHAEL SCOTT 1397 BACCUS, WHITNEY CAPRI
1398 SMITH, KARIANN MICHELLE
Occupational Therapist 1823 KIOUS, SHERRY ANN 1826 CORY, LINDSAY MARIE 1829 GILLHAM, KATRINA ANNETTE
1833 NEAL, KELLY KATHRYN 1834 FREEMAN, MALLORY NICOLE 1836 KEY, EMILY ELIZABETH
1837 WILLIAMS, ANGELA NICOLE 1841 HASKELL, LAUREN ASHLEY
2266 2267 2268 2271 2273 2276 2278 2280 2281
2283 2285 2286 2288 2289 2292 2294 2295 2299
Physician Assistant 2265 TERAN CHAVEZ, DAVID Provisional Respiratory Care Practitioner 1485 GOSVENER, VALERIE CHERICE Physical Therapist Assistant 1994 MINSON, JAMES PAUL 2208 MILLER, CHRISTIE DAWN 2254 ESCHENBACHER, TARA JO 2255 FAIRBANKS, AMBER JEAN 2257 WEBBER, JUSTIN CHARLES 2259 DELK, STEPHANIE DIANE 2262 RUTLEDGE, TYRELL JAMES 2263 WOOD, ASHLEY MARIE 2265 MAPLES, AMBER ROSE
PODANY, BRADLEY JEREL PERKINS, SHANNON MARIE SCOTT, BRITTANY NICOLE LUNDY, DANIEL NAZARATH LAWSON, THOMAS DWIEGHT QUALLS, KYLE BRANDON CALDWELL, MEGAN UTT, JAMIE RACHELLE WOZNICK, EDEN NEGRANZA
DOZMOROVA, SOFIA MOORE, CORI ELAINA CRESWA, LAVINIA JEAN CAMPBELL, KIMBERLY M SWEGER, SARAH SUZANNE HANSEN, BRYAN MICHAEL PHILIPOSE, JOSHINA HAMILTON, TYLER OLANIWUN, TEMITOPE G
