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 23-01-002769 12/09/2011 Reclassified w/full & Unlimited License CHIROPRACTIC John Joseph Nixon, D.C. Grand Blanc, MI 23-01-008683 12/09/2011 Violation COUNSELING Desmond Girard Walters Flint, MI Unlicensed 12/15/2011 License Denied Failure to Meet Licensing 1
MARRIAGE AND FAMILY THERAPY David G. Beighley, M.F.T. Allendale, MI 41-01-005398 01/13/2012 Suspended Sexual Misconduct MARRIAGE AND FAMILY THERAPY Karen E. Vedrody, M.F.T., L.M.S.W. Flint, MI 41-01-005913 12/15/2011 68-01-018399 Betrayal of Professional Confidence MEDICINE Jose R. Gomez Alba, M.D. Carolina, PR 43-01-066766 12/09/2011 MEDICINE Kassem Mahmoud Hallak, M.D. Charlotte, MI 43-01-062401 12/16/2011 Sexual Misconduct MEDICINE Mark Steven Mc Cormick, M.D. Kalamazoo, MI 43-01-046225 12/05/2011 2
MEDICINE Richard M. Pauli, M.D. Madison, WI 43-01-066398 12/09/2011 Linda Docksey, L.P.N. Walled Lake, MI 47-03-078170 12/14/2011 Janell Lynn Gerstner, R.N. Ann Arbor, MI 47-04-185139 12/09/2011 John Henry Geueke, R.N., L.P.N. Marquette, MI 47-04-140723 12/09/2011 47-03-045984 Chad Thomas Jubeck, R.N., L.P.N. Bath, MI 47-04-236424 12/17/2011 47-03-091644 Violation 3
Terri Lynn Persaini, R.N. Waterford, MI 47-04-168709 12/09/2011 Jennifer Lynn Teliczan, R.N. Ada, MI 47-04-256231 12/14/2011 Mattawan Village Pharmacy Mattawan, MI 53-01-009053 12/14/2011 Voluntarily Surrendered Dissolved Mykal Discount Pharmacy LLC Detroit, MI 53-01-009264 12/14/2011 Dissolved 4
Shared Solutions Pharmacy d/b/a Teva Neuroscience Inc. Kansas City, MO 53-15-020606 12/14/2011 53-01-008066 Andys Pharmacy On Grand Blvd Detroit, MI 53-01-004955 12/14/2011 Advanced Care Scripts Inc Orlando, FL 53-01-008911 01/13/2012 Douglas T. Aos, R.Ph. Belcourt, ND 53-02-024236 01/13/2012 Suspended Substance Abuse Drug Diversion Mental/Physical Inability to Practice Joseph Nuri Fakhoury, R.Ph. Grosse Pointe, MI 53-02-027160 12/14/2011 5
Lawrence Anthony Harden, R.Ph. Caledonia, MI 53-02-410951 12/14/2011 Dissolved Negligence - Incompetence Lack of Good Moral Character Feraas Jabi, M.D., Ed., Ltd. Pontiac, MI CS License 53-15-032626 43-01-090800 01/13/2012 Jennifer Lynn Koskie, R.Ph. Perrysburg, OH 53-02-037496 01/13/2012 Tiffany S. Lincoln, R.Ph. Cedarville, IL 53-02-030622 01/13/2012 Limited / Restricted Sister State Disciplinary Action Failure to Report/Comply Michael Oluchukwu Madu, R.Ph. Oak Park, MI 53-02-037112 12/14/2011 Dissolved Unethical Business Practice Lack of Good Moral Character Negligence - Incompetence 6
Robert Eugene Mast, R.Ph. Sturgis, MI 53-02-025118 01/13/2012 Violation Michael D. Nelson, R.Ph. Grand Haven, MI 53-02-023617 12/14/2011 Mental/Physical Inability to Practice Substance Abuse Manish Amrutlal Patel, R.Ph. Warren, MI 53-02-034072 12/14/2011 SOCIAL WORK Vanessa Ann Klave, L.B.S.W. Tawas City, MI 68-02-079897 12/15/2011 Reinstatement Denied SOCIAL WORK Helen Tyone Mayfield, L.M.S.W. Houston, TX 68-01-015678 12/15/2011 Reinstatement Denied 7
SOCIAL WORK Michael Paul Sierko, L.M.S.W. Bay City, MI 68-01-010884 12/15/2011 Reconsideration Granted Final Order issued 05-31-11 - Vacated Remanded for further Procedings SOCIAL WORK Kimberly Ann Simmons, L.M.S.W. Clarkston, MI 68-01-071436 12/15/2011 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 48909 or fax your request to FAX # 517-241-1212 Disciplinary Action Reports can be obtained from our Web site: http://www.michigan.gov/healthlicense 8