MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT
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1 MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT Orders served from 12/12/2011 through 12/16/2011 REVISED Name/Profession License Number Effective Date/Action Basis For Action CHIROPRACTIC James Rodney Mc Canse, D.C. Decatur, MI /09/2011 Reclassified w/full & Unlimited License CHIROPRACTIC John Joseph Nixon, D.C. Grand Blanc, MI /09/2011 Violation COUNSELING Desmond Girard Walters Flint, MI Unlicensed 12/15/2011 License Denied Failure to Meet Licensing 1
2 MARRIAGE AND FAMILY THERAPY David G. Beighley, M.F.T. Allendale, MI /13/2012 Suspended Sexual Misconduct MARRIAGE AND FAMILY THERAPY Karen E. Vedrody, M.F.T., L.M.S.W. Flint, MI /15/ Betrayal of Professional Confidence MEDICINE Jose R. Gomez Alba, M.D. Carolina, PR /09/2011 MEDICINE Kassem Mahmoud Hallak, M.D. Charlotte, MI /16/2011 Sexual Misconduct MEDICINE Mark Steven Mc Cormick, M.D. Kalamazoo, MI /05/2011 2
3 MEDICINE Richard M. Pauli, M.D. Madison, WI /09/2011 Linda Docksey, L.P.N. Walled Lake, MI /14/2011 Janell Lynn Gerstner, R.N. Ann Arbor, MI /09/2011 John Henry Geueke, R.N., L.P.N. Marquette, MI /09/ Chad Thomas Jubeck, R.N., L.P.N. Bath, MI /17/ Violation 3
4 Terri Lynn Persaini, R.N. Waterford, MI /09/2011 Jennifer Lynn Teliczan, R.N. Ada, MI /14/2011 Mattawan Village Pharmacy Mattawan, MI /14/2011 Voluntarily Surrendered Dissolved Mykal Discount Pharmacy LLC Detroit, MI /14/2011 Dissolved 4
5 Shared Solutions Pharmacy d/b/a Teva Neuroscience Inc. Kansas City, MO /14/ Andys Pharmacy On Grand Blvd Detroit, MI /14/2011 Advanced Care Scripts Inc Orlando, FL /13/2012 Douglas T. Aos, R.Ph. Belcourt, ND /13/2012 Suspended Substance Abuse Drug Diversion Mental/Physical Inability to Practice Joseph Nuri Fakhoury, R.Ph. Grosse Pointe, MI /14/2011 5
6 Lawrence Anthony Harden, R.Ph. Caledonia, MI /14/2011 Dissolved Negligence - Incompetence Lack of Good Moral Character Feraas Jabi, M.D., Ed., Ltd. Pontiac, MI CS License /13/2012 Jennifer Lynn Koskie, R.Ph. Perrysburg, OH /13/2012 Tiffany S. Lincoln, R.Ph. Cedarville, IL /13/2012 Limited / Restricted Sister State Disciplinary Action Failure to Report/Comply Michael Oluchukwu Madu, R.Ph. Oak Park, MI /14/2011 Dissolved Unethical Business Practice Lack of Good Moral Character Negligence - Incompetence 6
7 Robert Eugene Mast, R.Ph. Sturgis, MI /13/2012 Violation Michael D. Nelson, R.Ph. Grand Haven, MI /14/2011 Mental/Physical Inability to Practice Substance Abuse Manish Amrutlal Patel, R.Ph. Warren, MI /14/2011 SOCIAL WORK Vanessa Ann Klave, L.B.S.W. Tawas City, MI /15/2011 Reinstatement Denied SOCIAL WORK Helen Tyone Mayfield, L.M.S.W. Houston, TX /15/2011 Reinstatement Denied 7
8 SOCIAL WORK Michael Paul Sierko, L.M.S.W. Bay City, MI /15/2011 Reconsideration Granted Final Order issued Vacated Remanded for further Procedings SOCIAL WORK Kimberly Ann Simmons, L.M.S.W. Clarkston, MI /15/2011 Reinstatement Denied SOCIAL WORK Desmond Girard Walters Flint, MI Unlicensed 12/15/2011 License Denied Failure to Meet Licensing Date Submitted: January 05, 2012 REVISED ON July 12, 2012 **Final administrative disciplinary action is subject to judicial review. To obtain copies of disciplinary documents, write to: FOIA Coordinator, Department of Licensing and Regulatory Affairs, Bureau of Health Professions, P.O. Box 30670, Lansing, MI or fax your request to FAX # Disciplinary Action Reports can be obtained from our Web site: 8
License Number Effective Date/Action Basis For Action. 23-01-008258 06/17/2014 Summary Suspension Dissolved Suspended
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES DISCIPLINARY ACTION REPORT Orders served from 6/16/2014 through 6/20/2014 Name/Profession License Number Effective
License Number Effective Date/Action Basis For Action. 43-01-048249 08/15/2014 Fine Imposed
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES DISCIPLINARY ACTION REPORT Orders served from 7/14/2014 through 7/18/2014 Name/Profession License Number Effective
License Number Effective Date/Action Basis For Action. 03/21/2015 Probation Fine Imposed. 02/19/2015 Reprimanded Fine Imposed
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES DISCIPLINARY ACTION REPORT Orders served from 2/16/2015 through 2/20/2015 Name/Profession License Number Effective
License Number Effective Date/Action Basis For Action. 64-01-008471 04/01/2015 Reinstatement Granted Full and Unlimited License Probation
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES DISCIPLINARY ACTION REPORT Orders served from 4/6/2015 through 4/10/2015 Name/Profession License Number Effective
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT Orders served from 4/5/2010 through 4/9/2010
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT Orders served from 4/5/2010 through 4/9/2010 Name/Profession License Number Effective Date/Action Basis For
License Number Effective Date/Action Basis For Action. 23-01-009162 09/19/2013 Reprimanded. 23-01-006943 10/19/2013 Reprimanded Probation
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES DISCIPLINARY ACTION REPORT Orders served from 9/23/2013 through 9/27/2013 Name/Profession License Number Effective
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT. Orders served from 09-20-04 through 10-01-04
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT Orders served from 09-20-04 through 10-01-04 Name/Profession License Number Effective Date/Action Nature
Name/Profession License Number Effective Date/Action Basis For Action. 11-02-003865 10/22/2015 Fine Imposed. 11-02-003884 10/22/2015 Fine Imposed
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF PROFESSIONAL LICENSING DISCIPLINARY ACTION REPORT Orders served from 10/26/2015 through 10/30/2015 Name/Profession License Number Effective
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