License Number Effective Date/Action Basis For Action. 03/21/2015 Probation Fine Imposed. 02/19/2015 Reprimanded Fine Imposed



Similar documents
License Number Effective Date/Action Basis For Action /17/2014 Summary Suspension Dissolved Suspended

License Number Effective Date/Action Basis For Action /01/2015 Reinstatement Granted Full and Unlimited License Probation

MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH PROFESSIONS DISCIPLINARY ACTION REPORT

License Number Effective Date/Action Basis For Action /15/2014 Fine Imposed

License Number Effective Date/Action Basis For Action /19/2013 Reprimanded /19/2013 Reprimanded Probation

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 through

Name/Profession License Number Effective Date/Action Basis For Action /22/2015 Fine Imposed /22/2015 Fine Imposed

State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH (614) med.ohio.gov

BACHELOR S SOCIAL WORKER LICENSE INSTRUCTIONS Authority: P.A. 368 of 1978, as amended This form is for information only.

Translation Services in Michigan

INSTRUCTIONS FOR LICENSURE BY ENDORSEMENT FOR GRADUATES OF AVMA-APPROVED PROGRAMS NOTE:

STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS

MICHIGAN BOARD OF PHARMACY OCTOBER 8, 2014 MEETING APPROVED MINUTES

APPLYING FOR A MEDICAL LICENSE IN MICHIGAN

Election Cycle Campaign Finance Contribution Limits For State Level Office, Local Level Office, Judicial and Caucus Committee PACs

Child Care Center Letter Series

APPLICATION FOR A LICENSE TO PRACTICE SOCIAL WORK (THIS APPLICATION MUST BE SUBMITTED FOR PRE-APPROVAL TO TAKE THE ASWB MASTER S EXAMINATION)

Open.PD.FIRM

PHYSICAL THERAPIST ASSISTANT LICENSURE INSTRUCTIONS Authority: P.A. 368 of 1978, as amended This form is for information only.

STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS. Services

CHECK THE CIRCUMSTANCE UNDER WHICH YOU ARE SEEKING A TEMPORARY LICENSE: REQUIRED DOCUMENTS

CLINICAL SOCIAL WORKER LICENSURE APPLICATION

Ambulatory Surgery Centers

REGISTERED NURSE AND LICENSED PRACTICAL NURSE RELICENSURE APPLICATION PACKET

TRANSLATORS RESOURCE LIST

STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU APPROVED MEETING MINUTES

Original Group Gap Analysis Report

Ross Medical Education Center - Ann Arbor (Institutional) Ross Medical Education Center - Brighton (Institutional)

All Interested Parties Erik Jonasson, Fiscal Analyst Drug Treatment Courts and Swift and Sure Sanctions Programs

OHIO DEPARTMENT OF COMMERCE INFORMATION RELEASE. Division of Financial Institutions Orders and Enforcement Actions April 1, 2009 to April 30, 2009

Michigan Department of Licensing and Regulatory Affairs Bureau of Professional Licensing Board of Pharmacy PO Box Lansing, MI (517)

STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS

Board Occupational Therapy

HEALTH PROFESSIONS: CONSEQUENCES OF DUI PROSECUTION & CONVICTION

PHYSICAL THERAPIST ASSISTANT LICENSURE by ENDORSEMENT

2014, That Was The Year That Was Greg Baran, RPh, MA, FMPA Baran Consulting LLC

STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS

REVISED STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA

STATE OF MICHIGAN BILL SCHUETTE ATTORNEY GENERAL. FOR IMMEDIATE RELEASE MEDIA CONTACT: Joy Yearout JULY 23,

NEW/RENEWAL APPLICATION FOR PAIN MANAGEMENT CLINIC REGISTRATION

Michigan Adoption and Foster Care Agencies by County

Board Respiratory Care

Nursing Board - A Review of the State Legislature

Michigan Department of Licensing & Regulatory Affairs Bureau of Health Care Services Health Facilities Division

FILED APR Attorney for Board of Nursing. DAG Susan Carboni Tel. (973) LICENSE # NO STATE OF NEW JERSEY

Board Marriage and Family Therapy

Vermont Board of Nursing INSTRUCTION TO APPLICANTS

REQUIREMENTS FOR LICENSURE:

REGISTRATION REQ!}IREMENTS FOR CLINICS OWNED BY NON-PHYSICIANS

PART II. LICENSURE BY CREDENTIALS

M.R In re: Michael A. Hall. Disciplinary Commission.

[CHAPTER 466D] RESPIRATORY THERAPISTS

Yes No No License verification. AADE query. AR Yes Five years No No No License verification. References. No background fee. Education.

Fall 2015 Graduate School Fair

INSTRUCTIONS FOR APPLICANTS WHO HOLD NBRC CERTIFICATION

INSTRUCTION TO APPLICANTS FOR LICENSURE AS A OCCUPATIONAL THERAPIST OR OCCUPATIONAL THERAPY ASSISTANT

Medical Marijuana. N e w Se m i n a r! Striking a Balance Between Regulation and Freedom. July 26, 2010 Eagle Crest Marriott Ypsilanti

STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS

Bibb County Civil Cases

Michigan Local Emergency Managers

MEDICAL STAFF DIRECTORY

STATE OF NEBRASKA. Regulations Governing the Practice of: ACUPUNCTURE

2. Be of good moral character. Have 2 recommendations completed on page 3.

HOUSE BILL No page 2

REQUIREMENTS FOR CERTIFICATION:

REGISTERED NURSE ENDORSEMENT APPLICATION PACKET

APPLICATION FOR A LICENSE BY EXAMINATION TO PRACTICE MARRIAGE AND FAMILY THERAPY

MASTER'S SOCIAL WORKER LICENSE ENDORSEMENT APPLICATION PACKET

Negligence ~ Motor Vehicle

CRIMINAL JUSTICE AGENCIES

The Pennsylvania Nurse Peer Assistance Program ANNUAL REPORT 2014

Defending Your License

Regulations for Safe Nursing Care

Regulations Governing Licensure of Athletic Trainers

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE BOARD OF PHYSICAL THERAPY GENERAL RULES

Basic Principles. Board of Nursing. Board of Nursing. Board of Nursing. Board of Nursing. Ohio Nurse Practice Act & Rules of the Board of Nursing

Hospital Information Systems at the Veterans Administration. September NTIS order #PB

PLEASE ALLOW AT LEAST 60 DAYS FOR PROCESSING INSTRUCTIONS FOR APPLICANTS WHO HOLD NCCPA CERTIFICATION

HEALTH OCCUPATIONS TITLE 19. SOCIAL WORKERS SUBTITLE 3. LICENSING

Dan Semones. June, 2014

INSTRUCTIONS FOR COMPLETING THE PETITION FOR REINSTATEMENT OF LICENSE

MEDICAL STAFF DIRECTORY

State Board of Emergency Medical, Fire, and Transportation Services Disciplinary Actions February 18, 2016

Letter of Recommendation: Required two references names and contact info. * Only accepts NACAC fee waiver during CAW

Minimum Standards for the Associate Degree Nursing (ADN) Program include:

Transcription:

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 Date/Action Basis For Action CHIROPRACTIC Kellie Jean Gillis, D.C. Gladstone, MI 23-01-009040 03/21/2015 Lack of Good Moral Character CHIROPRACTIC Robert Joseph Moore, D.C. Brighton, MI 23-01-006950 02/19/2015 Violation CHIROPRACTIC Aaron Ross Joseph Rice, D.C. 23-01-009504 Hazel Park, MI Stephanie Anne Campbell, D.D.S. Rome, OH 29-01-019972 1

Rick James Davis, D.D.S. f/k/a Robert John Davis Bloomfield Hills, MI 29-01-015557 Linda Sue De Haan, R.D.H. Kalamazoo, MI 29-02-006671 June Walker Downey, R.D.A. Montrose, MI 29-03-000936 Brian N. Feeney, D.D.S. Traverse City, MI 29-01-013633 Colette Joy Harting, R.D.H. Sterling Heights, MI 29-02-011642 Violation 2

Robert Casimir Lesneski, D.D.S. 29-01-019658 Flint, MI Mark Rolland Morin, D.D.S. Southfield, MI 29-01-014117 Jerel N. Owens, D.D.S. Detroit, MI 29-01-011444 Thomas Provo Pfotenhauer, D.D.S. Escanaba, MI 29-01-015230 Limited / Restricted Lack of Good Moral Character Bruce H. Purmell, D.D.S. Jackson, MI 29-01-014266 2/12/2015 Limited / Restricted Mental/Physical Inability to Practice Lack of Good Moral Character Practice Outside Scope of License 3

Joseph J. Rafferty, D.D.S. Muskegon, MI 29-01-011342 Incompetence John R. Robison, D.D.S. Canton, MI 29-01-009645 Practice Outside Scope of License Rita Anna Sokol, R.D.H. Naples, FL 29-02-006493 Dennis Joseph Swinteck, D.D.S. 29-01-010192 Dearborn, MI William Henry Woodruff, D.D.S. 29-01-011170 West Bloomfield, MI Limited / Restricted 4

Stefanie Lyn Bailey, R.N. f/k/a Stefanie Lyn Allsbury Elkhart, IN 47-04-253211 Reinstatement Granted - Limited License Rhonda Lee Brumley, R.N., L.P.N. Hartford, MI 47-04-226164 47-03-082595 02/23/2015 Incompetence Petula Rae Hadley-Petrovich, R.N. Jenison, MI 47-04-219188 02/09/2015 Brandon L. Hill, L.P.N. Detroit, MI 47-03-107024 Reinstatement Denied Failure to Meet Reinstatement Mary Elizabeth Ketterer, R.N., L.P.N. Goodrich, MI 47-04-242757 47-03-093899 02/21/2015 Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice Violation 5

Carol Marie Renaud, R.N., L.P.N. Saginaw, MI 47-04-302015 47-03-108611 02/23/2015 Incompetence Jason Allan Whitman, R.N. Terre Haute, IN 47-04-248385 Reinstatement Granted - Full and Unlimited License OCCUPATIONAL THERAPISTS Shirley Howard Coates, O.T. Grosse Pointe Park, MI 52-01-006880 03/19/2015 Violation OCCUPATIONAL THERAPISTS Brock Nathaniel Lorenz, O.T. Cement City, MI 52-01-006313 02/17/2015 Dissolved Suspended Upon Automatic Reinstatement Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice OSTEOPATHIC MEDICINE AND SURGERY Rommaan Sayed Ahmad, D.O. 51-01-015235 Alexandria, VA 02/09/2015 6

PHARMACY John Carl Slindee, R.Ph., Ed. Ltd. Brighton, MI 53-02-040927 02/23/2015 Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice Criminal Conviction - Alcohol Related Failure to Report/Comply TASK FORCE ON PHYSICIANS ASSISTANTS Faye Ann Curtis, P.A. a/k/a Faye Ann Roach Flint, MI 56-01-001630 Reclassification Denied Failure to Meet Reclassification Date Submitted: March 17, 2015 **Final administrative disciplinary action is subject to judicial review. Copies of disciplinary documents can be obtained at www.michigan.gov/verifylicense. To obtain a copy of disciplinary documents pertaining to a specific health professional that is not posted to the Verify a License web site, please submit a request in writing to Michigan Department of Licensing and Regulatory Affairs, Bureau of Health Care Services, Administrative Support Division, Freedom of Information Coordinator at BHCS-FOIAINFO@michigan.gov Disciplinary Action Reports can be obtained from our Web site: http://www.michigan.gov/healthlicense 7