LARA/BPL HEALTH CODE DISCIPLINARY ACTION REPORT€¦ · michigan department of licensing and regulatory affairs bureau of professional licensing. disciplinary action report. orders

MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF PROFESSIONAL LICENSING

DISCIPLINARY ACTION REPORT Orders served from 3/6/2017 through 3/10/2017

License Number Effective Date/Action Basis For Action Name/Profession ATHLETIC TRAINERS

26-01-001478 03/06/2017 Sexual Misconduct Summary Suspension

Courtney Marie Welker, A.T. Portland, MI

CHIROPRACTIC

23-01-005970 03/09/2017 Theodore John Thatcher, D.C. Elkhart, IN Reinstatement Granted

Probation

04/02/2017 64-01-008505

COUNSELING

Darlene McMathis-West, L.P.C., Ed. Ltd.Holt, MI

Reprimanded Fine Imposed

Violation of General Duty/Negligence

1

75-01-00531368-01-034719

Criminal Conviction 03/06/2017 Summary Suspension

MASSAGE THERAPY

Geraldine Galbraith Taeckens, M.T., L.M.S.W. Sault Sainte Marie, MI

NURSING

47-04-305960 03/08/2017 Heather Lynne Bartley, R.N. Saint Clair Shores, MI Summary Suspension

Negligence – Incompetence Lack of Good Moral Character Drug Diversion

NURSING

47-04-309951Kendra Lynne Benson, R.N. Houghton, MI

03/01/2017 Summary Suspension Dissolved SuspendedUpon Automatic Reinstatement - Probation

Violation of General Duty/Impairment Incompetence Lack of Good Moral Character Drug Diversion

NURSING

47-04-192515 04/01/2017 Marguerite Anne Boersma, R.N. Holland, MI Probation

Fine Imposed

Violation of General Duty/Negligence-Impairment Incompetence Substance Use Disorder

NURSING

47-04-220221 03/31/2017 Margaret Jo-Ann Bushey, R.N. Wallaceburg, Ontario, Canada Suspended

Fine Imposed

Failure to Meet Cont. Ed. Requirements

2

47-04-183776

NURSING

Mary Rose Corning, R.N. Greenville, MI

03/02/2017 Probation Fine Imposed

Negligence - Incompetence

NURSING

47-04-136013 03/02/2017 Barbara Jean Crowther, R.N. Grosse Pointe Woods, MI Voluntarily Surrendered


NURSING

47-04-256705 04/01/2017 Brian Eugene Davis, R.N. Howell, MI Probation

Fine Imposed


NURSING

47-04-084214 03/31/2017 Mary Jo Ferris Day, R.N. Kalamazoo, MI Suspended

Fine Imposed


NURSING

47-04-174385 03/31/2017 John Edward Dornbusch, R.N. Atlanta, GA Suspended

Fine Imposed

Sister State Disciplinary Action Failure to Report/Comply Lack of Good Moral Character

3

47-04-224703 04/01/2017 Probation Fine Imposed

NURSING

Brian Christopher Fairbanks, R.N. Fennville, MI

Violation of General Duty/ImpairmentSubstance Use DisorderCriminal Conviction - Alcohol Related

47-04-147603 04/01/2017 Probation Fine Imposed

47-04-175263 03/02/2017 Reprimanded Fine Imposed

47-04-102347 03/02/2017 Suspended

NURSING

Gail Marie Fontaine, R.N.Windsor, Ontario, Canada

NURSING

Susan E Fulton, R.N. Warren, MI

NURSING

Melissa L Goodell, R.N. Saint Clair, MI

NURSING

47-04-258350 04/01/2017 David Michael Gregson, R.N. Traverse City, MI Probation




Violation of General Duty/Negligence-Impairment Criminal Conviction - Alcohol Related

4

47-04-266064

NURSING

James Lynn Harder, R.N. Troy, MI

Negligence - Incompetence Lack of Good Moral Character Drug Diversion

03/31/2017 Suspended Upon Automatic Reinstatement - Probation

NURSING

47-04-222569Michael James Householder, R.N. Ionia, MI


NURSING

47-04-199043Holly Husted, R.N., N.P. Kalamazoo, MI


NURSING

47-04-270844Dawn Cheri King, R.N. Detroit, MI


NURSING

47-03-112158Connie Lee Kirkhuff, L.P.N. Owosso, MI



03/01/2017 Suspended


Negligence - Incompetence Lack of Good Moral Character

5

47-04-246609

NURSING

Nicholas Allan Kromrei, R.N. Grass Lake, MI



NURSING

47-04-226933 03/02/2017 Rebecca Sue Lacy, R.N. Saginaw, MI Probation

Fine Imposed


NURSING

47-04-104700 03/02/2017 Failure to Meet Cont. Ed. Voluntarily Surrendered Requirements

Arlene C Mac Ewen, R.N. Farmington Hills, MI

NURSING

47-04-152427 04/01/2017 Julie A B Maxwell, R.N. Commerce Township, MI Probation

Fine Imposed


NURSING

47-04-113484 03/02/2017 Patricia Ann Melvin, R.N. Chicago, IL Voluntarily Surrendered


6

47-03-098685

NURSING

Monika Jean Moore, L.P.N. Lansing, MI


Negligence - Incompetence Lack of Good Moral Character Practice Outside Scope of License

NURSING

47-04-272928 03/02/2017 Rachelle Denise Moss, R.N. Farmington Hills, MI Probation

Fine Imposed


NURSING

47-03-110328 04/01/2017 Lisa Kaye Murringer, L.P.N. Lupton, MI Probation

Fine Imposed


NURSING

47-04-097661 03/02/2017 Sharon O'Connor, R.N. Lawton, MI Voluntarily Surrendered


NURSING

47-04-291616 03/08/2017 Jennifer Christman Pace, R.N. Grosse Ile, MI Summary Suspension

Failure to Report/Comply

7

NURSING

Cynthia Marie Paige, R.N., N.P. 47-04-178240 Bloomfield Hills, MI

04/01/2017 Fine Imposed


NURSING

47-03-097639 04/01/2017 Zelma Perry-Motley, L.P.N. Westland, MI Probation

Fine Imposed

Technical Violation of the Michigan PHC Probation Violation

NURSING

47-04-178159 03/02/2017 Linda Carol Prosise, R.N. Springport, MI Suspended


NURSING

47-04-215762 04/01/2017 Becky Lee Reed, R.N. Bay City, MI Probation

Fine Imposed

Negligence - Incompetence Drug Diversion Lack of Good Moral Character

NURSING

47-04-223442 04/01/2017 Rosa Amelia Rodriguez, R.N. Shelby, MI Probation

Fine Imposed


8

47-03-109370

NURSING

Christie Jo Savage, L.P.N. Freeland, MI

Violation of General Duty/Negligence-Impairment Incompetence Drug Diversion Lack of Good Moral Character

03/02/2017 Summary Suspension Dissolved Suspended Fine Imposed

NURSING

47-03-107263 Briana Marie Schooley, L.P.N. Grayling, MI

NURSING

47-04-145957Samuel Potter Sharp, R.N. Petoskey, MI

NURSING

47-03-100724Kelly Ann Stanfill, L.P.N. Kalamazoo, MI

NURSING

47-04-136607William Stefl, R.N. Muskegon, MI

03/08/2017 Summary Suspension

9

NURSING

Patricia Diane Stegall, L.P.N. 47-03-064358 Utica, MI

03/02/2017 Voluntarily Surrendered

03/01/2017 Summary Suspension Dissolved SuspendedUpon Automatic Reinstatement - Probation



Violation of General Duty/Negligence-Impairment Incompetence Lack of Good Moral Character Substance Use Disorder Drug Diversion


Violation of General Duty/Negligence-Impairment Incompetence Lack of Good Moral Character Drug Diversion



NURSING

47-04-151084 03/31/2017 Julie Ann Stine, R.N. Warren, MI Suspended

Upon Automatic Reinstatement - Probation

Violation of General Duty/Negligence-Impairment Incompetence

NURSING

47-04-097700Linda J Thierry, R.N. Marquette, MI

10

NURSING

Ruth Nadine-Sulzmann Wier, 47-04-317358 R.N. Flint, MI

NURSING

Carolyn Marie Yeck, R.N. 47-04-268087Muskegon, MI

NURSING

Bridget Michelle Young, R.N. 47-04-249942 Bay City, MI

NURSING HOME ADMINISTRATOR

Roger Scott Piotrowicz, N.H.A. 48-01-003753 Indianapolis, IN


04/01/2017 Summary Suspension Dissolved Suspended Upon Automatic Reinstatement - Probation

03/08/2017Summary Suspension Dissolved




Violation of General Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice



52-01-002541

OCCUPATIONAL THERAPIST

Donna Lynn Roe, O.T. Port Huron, MI

OCCUPATIONAL THERAPIST

52-01-004103Lloyd Trent Varner, O.T. Romulus, MI


03/02/2017 Summary Suspension Dissolved Suspended Upon Automatic Reinstatement - Probation


Violation of General Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice Criminal Conviction - Alcohol Related Failure to Report/Comply

11

53-02-024307

PHARMACY

Timothy Bos, R.Ph. Bakersfield, CA

03/02/2017 Reinstatement Denied

CS License43-01-045473Drug TreatmentProgram Prescriber License53-04-000604

03/02/2017

PHARMACY

Mamoun Dabbagh, M.D. Warren, MI Revoked

04/01/2017 Revoked

Negligence - Incompetence Lack of Good Moral Character Drug DiversionUnprofessional ConductTechnical Violation of the Michigan PHC

Violation of General Duty/Negligence-Impairment Lack of Good Moral Character Drug Diversion

PHARMACY

Gabriela Lara Martinez, Ph.T., 53-03-016555 Temporary Hartford, MI

53-03-003591 04/01/2017

PHARMACY

Crystal Lynn Owens, Ph.T. Clarkston, MI Revoked

PHARMACY

53-02-033396 03/01/2017 Nadmi Ahmed Qayed, R.Ph. Dearborn, MI Reinstatement Granted -

Limited / Restricted Probation

12

04/01/2017 Revoked

04/01/2017

PHARMACY

Aaron Renee Richards, Ph.T., 53-03-012183 Temporary Manistee, MI

PHARMACY

Kason Andrew VanDoren, Ph.T. 53-03-011866 Ann Arbor, MI Revoked

68-01-03471975-01-005313

03/06/2017 Summary Suspension

Lack of Good Moral Character Drug Diversion

Violation of General Duty/Impairment Incompetence Lack of Good Moral Character Drug Diversion

Violation of General Duty/Negligence-Impairment Incompetence Lack of Good Moral Character Drug Diversion

Criminal Conviction

SOCIAL WORK

Geraldine Galbraith Taeckens, L.M.S.W., M.T.Sault Sainte Marie, MI

56-01-001143 03/01/2017 Summary Suspension Dissolved Suspended Fine Imposed

Criminal ConvictionLack of Good Moral CharacterUnethical Business Practice

56-01-003125 03/01/2017

TASK FORCE ON PHYSICIAN'S ASSISTANTS

Ronald M Mingle, P.A. Alma, MI

TASK FORCE ON PHYSICIAN'S ASSISTANTS

John Eric Roberts, P.A. Saginaw, MI Reinstatement Denied

13

Date Submitted: April 3, 2017

**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, Freedom of Information Coordinator at [email protected].

Disciplinary Action Reports can be obtained from our Web site: <http://www.michigan.gov/healthlicense>.

Documents

LARA/BPL HEALTH CODE DISCIPLINARY ACTION REPORT€¦ · michigan department of licensing and regulatory affairs bureau of professional licensing. disciplinary action report. orders