MINUTES

North Carolina Medical Board

July 21-23, 2010

1203 Front Street

Raleigh, North Carolina

July 21-23, 2010

Minutes of the Open sessions of the North Carolina Medical
Board Meeting held July 21-23, 2010.
The July 21-23, 2010, meeting of the North Carolina Medical Board was held at the Board's
Office, 1203 Front Street, Raleigh, NC 27609. The meeting was called to order at 8:05 a.m.,
Wednesday, July 21, 2010, by Donald E. Jablonski, DO, President. Board members in
attendance were: George L. Saunders, III, MD, Past President; Janice E. Huff, MD, President-
Elect; William A. Walker, MD, Secretary/Treasurer; Ms. Pamela Blizzard; Thomas R. Hill, MD;
Dr. Ralph C. Loomis, MD; Ms. Thelma Lennon; John B. Lewis, Jr., LLB; Peggy R. Robinson, PA-
C; Paul S. Camnitz, MD and Karen R. Gerancher. Also attending were R. David Henderson,
Executive Director and Thom Mansfield, Board Attorney.

Presidential Remarks

Dr. Jablonski commenced the meeting by reading from the State Government Ethics Act,
“ethics awareness and conflict of interest reminder.” No conflicts were reported.

Dr. Jablonski explained the process to the Board members regarding the NCMB Officers and
Executive Committee recommendations.

Dr. Jablonski had Ms. Blizzard give a brief overview from the ”CPEP Learning Summit” she
attended.

Minute Approval
Motion: A motion passed that the May 19, 2010 Board Minutes and the June 17, 2010
Hearing minutes are approved as presented.

Executive Director’s Announcements

Mr. Henderson updated the Board members regarding Dr. Scott Kirby becoming the new NCMB
Medical Director. It was also noted that Dr. Sheppa would remain at the NCMB but on a part-
time basis.

Ms. Judie Clark, Director of Complaints, recognized Amy Ingram on her 5 year anniversary at
the NCMB.

Mr. Henderson noted that the NCPHP Compliance & BOD meeting would be held today at the
Renaissance Hotel starting at 3:00pm.

Mr. Curt Ellis, Director of Investigations, presented David Hedgecock, NCMB Investigator, for
completion of the Certified Medical Board Investigator Certificate.

Mr. Henderson noted that Ms. Jean Fisher-Brinkley, Director of Public Affairs, would be doing a
Bi-annual program update for the Board on Friday morning.

July 21-23, 2010

EXECUTIVE COMMITTEE REPORT

The Executive Committee of the North Carolina Medical Board met beginning at 10:40 am,
Wednesday July 21, 2010 at the offices of the Board. Committee members present were:
Donald E. Jablonski, DO, Chair; Janice E. Huff, MD; George L. Saunders, MD; William A.
Walker, MD; and John B. Lewis, Jr. Also present were Ralph C. Loomis, MD, R. David
Henderson (Executive Director), Hari Gupta (Director of Operations) and Peter T. Celentano,
CPA (Comptroller).

Financial Statements

Monthly Accounting May 2010: Mr. Celentano, CPA, presented the May 2010 compiled
financial statements. May is the seventh month of fiscal year 2010. The Committee
recommends the Board accept the financial statements as reported.

Old Business

Fines: N.C. General Statute 90-14(a) permits the Board to fine a licensee who has
violated the Medical Practice Act. The Board previously approved the use of fines in cases
where there is other disciplinary action. Senior staff continues to work on the manner in which
fines, without accompanying discipline or other public action, should be published or reported.
This issue will be discussed further at the September meeting.

Change in Staff Privileges: N.C. General Statute Section 90-14.13 states that the chief
administrative officer of every licensed hospital shall report to the Board actions involving a
physician’s privileges to practice in that institution including any resignation from practice or
voluntary reduction of privileges. However, the Board’s online Change in Staff Privileges form
only requires hospitals to report “for cause” resignations or reductions in privileges.
The Committee believes the current law may be too broad and recommends the Board
seek a change to N.C. General Statute Section 90-14-13 to provide that changes in staff
privileges are reportable pursuant to rules to be adopted by the Board.

New Business

Proposed Changes to Rules Regarding Misdemeanor Convictions: The Committee

considered proposed changes to rule regarding publication of misdemeanor convictions on the
Board’s website.
The Committee preliminary approved the proposed changes and asked staff to forward
the latest draft to the other Board members for comment. This matter will be discussed further
at the September meeting.

2012 Meeting and Hearing Calendars: The Committee reviewed the proposed 2012
Board Meeting and Hearing schedule and recommends adoption.

Nomination of New Officers and Executive Committee Members: The Committee

nominates the following officers for 2010-2011: Dr. Ralph Loomis, President-Elect; Dr. William
Walker, Secretary/Treasurer; and Ms. Pamela Blizzard member at large of the Executive
Committee.
According to the Bylaws, the current President-Elect, Dr. Janice Huff, shall automatically
become President on November 1 and the current President, Dr. Donald Jablonski, will continue
to serve on the Executive Committee as Past President.

July 21-23, 2010

POLICY COMMITTEE REPORT

Committee Members: Dr. Loomis, Dr. Walker, Judge Lewis, and Dr. Camnitz
Staff: Todd Brosius, Christina Apperson, and Wanda Long

NEW BUSINESS:

POSITION STATEMENT REVIEW

1/2010 COMMITTEE RECOMMENDATION: (Loomis/Camnitz) Adopt a 4 year review

schedule as presented. All reviews will be offered to the full Board for input. Additionally
all reviews will be documented and will be reported to the full Board, even if no changes
are made.

1/2010 BOARD ACTION: Adopt the recommendation of the Policy Committee.

LAST
SCHEDULED REVISED/
FOR REVIEWED/ REVISED/ REVISED/ REVISED/ REVISED/
POSITION STATEMENT ADOPTED REVIEW ADOPTED REVIEWED REVIEWED REVIEWED REVIEWED
Professional Obligation to
Report Incompetence,
Impairment, and
Unethical Conduct Nov-98 March 2010 Nov-98
Medical, Nursing,
Pharmacy Boards: Joint
Statement on Pain
Management in End-of-
Life Care Oct-99 May 2010 Oct-99
What Are the Position
Statements of the Board
and To Whom Do They
Apply? Nov-99 May 2010 Nov-99
Contact With Patients
Before Prescribing Nov-99 July 2010 Feb-01
Guidelines for Avoiding
Misunderstandings
During Physical
Examinations May-91 July 2010 Oct-02 Feb-01 Jan-01 May-96 May-93
Office-Based Procedures Sep-00 Jan-03
Access to Physician
Records Nov-93 Aug-03 Mar-02 Sep-97 May-96
Medical Supervisor-
Trainee Relationship Apr-04 Apr-04
The Treatment of Obesity Oct-87 Jan-05 Mar-96
HIV/HBV Infected Health
Care Workers Nov-92 Jan-05 May-96
Writing of Prescriptions May-91 Mar-05 Jul-02 Mar-02 May-96 Sep-92
Laser Surgery Jul-99 Jul-05 Aug-02 Mar-02 Jan-00
Self- Treatment and
Treatment of Family
Members and Others
With Whom Significant
Emotional Relationships
Exist May-91 Sep-05 Mar-02 May-00 May-96
Advertising and Publicity Nov-99 Sep-05 Mar-01

July 21-23, 2010

Prescribing Legend or
Controlled Substances for
Other Than Valid Medical
or Therapeutic Purposes,
with Particular Reference
to Substances or
Preparations with
Anabolic Properties May-98 Nov-05 Jan-01 Jul-98
Sale of Goods From
Physician Offices Mar-01 Mar-06
Competence and Reentry
to the Active Practice of
Medicine Jul-06 Jul-06
Availability of Physicians
to Their Patients Jul-93 Jul-06 Oct-03 Jan-01 May-96
Referral Fees and Fee
Splitting Nov-93 Jul-06 May-96
Sexual Exploitation of
Patients May-91 Sep-06 Jan-01 Apr-96
Care of the Patient
Undergoing Surgery or
Other Invasive Procedure Sep-91 Sep-06 Mar-01
The Physician-Patient
Relationship Jul-95 Sep-06 Aug-03 Mar-02 Jan-00 Jul-98
The Retired Physician Jan-97 Sep-06
Physician Supervision of
Other Licensed Health
Care Practitioners Jul-07 Jul-07
Medical Testimony Mar-08 Mar-08
Advance Directives and
Patient Autonomy Jul-93 Mar-08 May-96
End-of-Life
Responsibilities and
Palliative Care Oct-99 Mar-08 May-07
Drug Overdose
Prevention Sep-08 Sep-08
Policy for the Use of
Controlled Substances for
the Treatment of Pain Sep-96 Sep-08 Jul-05
Medical Record
Documentation May-94 May-09 May-96
Retention of Medical
Records May-98 May-09
Capital Punishment Jan-07 Jul-09
Departures from or
Closings of Medical Jan-00 Jul-09 Aug-03
Unethical Agreements in
Complaint Settlements Nov-93 Mar-10 May-96

Contact with patients before prescribing

It is the position of the North Carolina Medical Board that prescribing drugs to an individual the
prescriber has not personally examined is inappropriate except as noted in the paragraphs
below. Before prescribing a drug, a licensee should make an informed medical judgment based
on the circumstances of the situation and on his or her training and experience. Ordinarily, this
will require that the licensee personally perform an appropriate history and physical
examination, make a diagnosis, and formulate a therapeutic plan, a part of which might be a
prescription. This process must be documented appropriately.

July 21-23, 2010

Prescribing for a patient whom the licensee has not personally examined may be suitable under
certain circumstances. These may include admission orders for a newly hospitalized patient,
prescribing for a patient of another licensee for whom the prescriber is taking call, or continuing
medication on a short-term basis for a new patient prior to the patient’s first appointment.
Established patients may not require a new history and physical examination for each new
prescription, depending on good medical practice.

Prescribing for an individual whom the licensee has not met or personally examined may also
be suitable when that individual is the partner of a patient whom the licensee is treating for
gonorrhea or chlamydia. Partner management of patients with gonorrhea or chlamydia should
include the following items:

a) Signed prescriptions of oral antibiotics of the appropriate quantity and strength

sufficient to provide curative treatment for each partner named by the infected
patient. Notation on the prescription should include the statement: “Expedited
partner therapy.”
b) Signed prescriptions to named partners should be accompanied by written material
that states that clinical evaluation is desirable; that prescriptions for medication or
related compounds to which the partner is allergic should not be accepted; and that
lists common medication side effects and the appropriate response to them.

c) Prescriptions and accompanying written material should be given to the licensee’s

patient for distribution to named partners.

d) The licensee should keep appropriate documentation of partner management.

Documentation should include the names of partners and a copy of the prescriptions
issued or an equivalent statement.

It is the position of the Board that prescribing drugs to individuals the licensee has never met
based solely on answers to a set of questions, as is common in Internet or toll-free telephone
prescribing, is inappropriate and unprofessional.

(Adopted November 1999) (Amended February 2001, November 2009)

7/2010 COMMITTEE RECOMMENDATION: No changes are recommended.

7/2010 BOARD ACTION: Adopt the Committee recommendation.

Guidelines for avoiding misunderstandings during physical examinations

It is the position of the North Carolina Medical Board that proper care and sensitivity are
needed during physical examinations to avoid misunderstandings that could lead to charges
of sexual misconduct against physicians licensees. In order to prevent such
misunderstandings, the Board offers the following guidelines.
1) Sensitivity to patient dignity should be considered by the physician licensee when
undertaking a physical examination. The patient should be assured of adequate
auditory and visual privacy and should never be asked to disrobe in the presence of
the physician licensee. Examining rooms should be safe, clean, and well
maintained, and should be equipped with appropriate furniture for examination and
treatment. Gowns, sheets and/or other appropriate apparel should be made
available to protect patient dignity and decrease embarrassment to the patient while
a thorough and professional examination is conducted.

July 21-23, 2010

 2) Whatever the sex of the patient, a third party, a staff member, should be readily
available at all times during a physical examination, and it is strongly advised that a
third party be present when the physician licensee performs an examination of the
breast(s), genitalia, or rectum. It is the physician’s licensee’s responsibility to have a
staff member available at any point during the examination.
3) The physician licensee should individualize the approach to physical examinations
so that each patient's apprehension, fear, and embarrassment are diminished as
much as possible. An explanation of the necessity of a complete physical
examination, the components of that examination, and the purpose of disrobing may
be necessary in order to minimize the patient's possible misunderstanding.
4) The physician licensee and staff should exercise the same degree of professionalism
and care when performing diagnostic procedures (eg, electro-cardiograms,
electromyograms, endoscopic procedures, and radiological studies, etc), as well as
during surgical procedures and postsurgical follow-up examinations when the patient
is in varying stages of consciousness.
5) The physician licensee should be on the alert for suggestive or flirtatious behavior or
mannerisms on the part of the patient and should not permit a compromising
situation to develop.

(Adopted May 1991) (Amended May 1993, May 1996, January 2001, February 2001, October
2002)

7/2010 COMMITTEE RECOMMENDATION: The Committee recommends that the word

“physician” be replaced with “licensee” to be consistent with previous changes made during the
Position Statement review process.

7/2010 BOARD ACTION: Adopt the Committee recommendation.

OLD BUSINESS:

POSITION STATEMENT CONTINUED REVIEW

Issue: In November 2009, the Board approved the Policy Committee’s recommendation
to review Position Statements at least once every four years. A review schedule has
been formulated for the Committee’s consideration.

TELEMEDICINE

Issue: The Board to consider recent adoptions of telemedicine policies and statements by the
Federation, Blue Cross Blue Shield and the AMA.

5/2009 COMMITTEE DISCUSSION: Dr. Rhyne reported that the Federation recently adopted a
statement regarding telemedicine. It was also reported that BCBS would be implementing a new
e-medicine policy.

5/2009 BOARD ACTION: Mr. Brosius to use information from AMA, Federation, Medical Society
and BCBS, to begin working on a comprehensive policy. This policy should include the
telepsychiatry issue the Committee addressed last year.

July 21-23, 2010

7/2009 COMMITTEE DISCUSSION: Dr. Rhyne reported that the AMA recently passed a policy
regarding telemedicine and that Blue Cross Blue Shield may have also taken a position
regarding this issue.

7/2009 COMMITTEE RECOMMENDATION: Mr. Brosius is to continue to research this issue.

The Committee will report its findings at the September meeting.

7/2009 BOARD ACTION: No action required.

9/2009 COMMITTEE DISCUSSION: Mr. Brosius presented the following proposed Position
Statement. Comments were solicited from DHHS and their recommendations were considered
and incorporated where the Policy Committee deemed appropriate.

9/2009 COMMITTEE RECOMMENDATION: Present proposed Position Statement to the full

Board for consideration. This issue will be revisited at the November 2009 meeting.

9/2009 BOARD ACTION: Have proposed Position Statement published in Forum for comments
before final adoption by Board.

11/2009 COMMITTEE RECOMMENDATION: Continue to collect comments. Position

Statement and comments will be considered at the January 2010 meeting.

11/2009 BOARD ACTION: Continue to collect comments. Position Statement and comments
will be considered at the January 2010 meeting.

1/2010 COMMITTEE DISCUSSION: Comments received are on file and were provided for the
Committee’s review. The Committee discussed the need for informed consent. It was the
consensus of the Committee that the proposed Position Statement should not be changed.

1/2010 COMMITTEE RECOMMENDATION: (Loomis/Camnitz) Approve proposed Position

Statement. Present to full Board for approval.

1/2010 BOARD ACTION: After a full Board discussion, the Board voted to table this issue until
the staff could obtain additional information regarding informed consent.

3/2010 COMMITTEE DISCUSSION: The Committee received comments from Dr. Wu and Mr.
Bode regarding current standards in telemedicine as it related to radiology. Additional
comments were made from public guests, indicating their interest in monitoring the Board’s
activity on this issue.

3/2010 COMMITTEE RECOMMENDATION: Mr. Brosius is to prepare new language for the
informed consent section of the proposed Position Statement. The proposal will be presented
to the Policy Committee at the May meeting for further consideration.

3/2010 BOARD ACTION: Accept the Committee Recommendation.

5/2010 COMMITTEE DISCUSSION: The Committee heard from Dr. Brian S. Kuszyk, MD, Past
President, NC Chapter of the American College of Radiology. Dr. Kuszyk explained that the
nature of radiology is such that all or nearly all of radiology is teleradiology. He also indicated
that the specialty of radiology is not one that relies upon informed consent. The Board
discussed the fact that perhaps the section on informed consent is aimed at such a narrow
category of cases that it is in fact more distracting than helpful.

5/2010 COMMITTEE RECOMMENDATION: Remove Informed consent section of the position

statement as not necessary.
July 21-23, 2010
5/2010 BOARD ACTION: Adopt Committee recommendation.

7/2010 COMMITTEE DISCUSSION: Janice Ramquist, Executive Director, North Carolina

Integrative Medicine Society provided the Committee with a written statement regarding the
Telemedicine position statement. Dr. Walker recommended that the section on fees be deleted.

7/2010 COMMITTEE RECOMMENDATION: Allow full Board to review letter from NCIMS.
Approve proposed changes to Telemedicine position statement, which include deleting the
informed consent and fee sections.

7/2010 BOARD ACTION: Adopt the Committee recommendation.

Telemedicine

“Telemedicine” is the practice of medicine using electronic communication, information

technology or other means between a licensee in one location and a patient in another location
with or without an intervening health care provider.
The Board recognizes that technological advances have made it possible for licensees to
provide medical care to patients who are separated by some geographical distance. As a result,
telemedicine is a potentially useful tool that, if employed appropriately, can provide important
benefits to patients, including: increased access to health care, expanded utilization of specialty
expertise, rapid availability of patient records, and the reduced cost of patient care.

The Board cautions, however, that licensees practicing via telemedicine will be held to the same
standard of care as licensees employing more traditional in-person medical care. A failure to
conform to the appropriate standard of care, whether that care is rendered in-person or via
telemedicine, may subject the licensee to potential discipline by this Board.

The Board provides the following considerations to its licensees as guidance in providing
medical services via telemedicine:

Training of Staff -- Staff involved in the telemedicine visit should be trained in the use of the
telemedicine equipment and competent in its operation.

Examinations -- Licensees using telemedicine technologies to provide care to patients located in

North Carolina must provide an appropriate examination prior to diagnosing and/or treating the
patient. However, this examination need not be in-person if the technology is sufficient to
provide the same information to the licensee as if the exam had been performed face-to-face.

Other examinations may also be considered appropriate if the licensee is at a distance from the
patient, but a licensed health care professional is able to provide various physical findings that
the licensee needs to complete an adequate assessment. On the other hand, a simple
questionnaire without an appropriate examination may be a violation of law and/or subject the
licensee to discipline by the Board.1

Licensee-Patient Relationship – The licensee using telemedicine should have some means of
verifying that the person seeking treatment is in fact who he or she claims to be. A diagnosis
should be established through the use of accepted medical practices, i.e., a patient history,
mental status examination, physical examination and appropriate diagnostic and laboratory
testing. Licensees using telemedicine should also ensure the availability for appropriate follow-

1
See also the Board’s Position Statement entitled “Contact with Patients before Prescribing.”
July 21-23, 2010
up care and maintain a complete medical record that is available to the patient and other
treating health care providers.

Medical Records -- The licensee treating a patient via telemedicine must maintain a complete
record of the telemedicine patient’s care according to prevailing medical record standards. The
medical record serves to document the analysis and plan of an episode of care for future
reference. It must reflect an appropriate evaluation of the patient's presenting symptoms, and
relevant components of the electronic professional interaction must be documented as with any
other encounter.

The licensee must maintain the record’s confidentiality and disclose the records to the patient
consistent with state and federal law. If the patient has a primary care provider and a
telemedicine provider for the same ailment, then the primary care provider’s medical record and
the telemedicine provider’s record constitute one complete patient record.

Licensure -- The practice of medicine is deemed to occur in the state in which the patient is
located. Therefore, any licensee using telemedicine to regularly provide medical services to
patients located in North Carolina should be licensed to practice medicine in North Carolina.2
Licensees need not reside in North Carolina, as long as they have a valid, current North
Carolina license.

North Carolina licensees intending to practice medicine via telemedicine technology to treat or
diagnose patients outside of North Carolina should check with other state licensing boards.
Most states require physicians to be licensed, and some have enacted limitations to
telemedicine practice or require or offer a special registration. A directory of all U.S. medical
boards may be accessed at the Federation of State Medical Boards Web site:
http://www.fsmb.org/directory_smb.html.

Fees – The Board’s licensees should be aware that third-party payors may have differing
requirements and definitions of telemedicine for the purpose of reimbursement.

Medical, Nursing, Pharmacy Boards: Joint Statement on Pain Management in End-of-Life Care

5/2010 COMMITTEE DISCUSSION: The Committee discussed whether changes should

be made to specify that the position statement applies to other licensees as well. It was
suggested that, since the position statement was initially propounded as a joint
statement, it might be helpful to discuss this matter with the other licensing boards.

5/2010 COMMITTEE RECOMMENDATION: Mr. Brosius to contact the Pharmacy Board

and the Nursing Board to determine if they object to the proposed changes and if they
will join in those changes.

5/2010 BOARD ACTION: Adopt the Committee recommendation.

2
N.C. Gen. Stat. § 90-18(c)(11) exempts from the requirement for licensure: “The practice of medicine or
surgery by any nonregistered reputable physician or surgeon who comes into this State, either in person
or by use of any electronic or other mediums, on an irregular basis, to consult with a resident registered
physician or to consult with personnel at a medical school about educational or medical training. This
proviso shall not apply to physicians resident in a neighboring state and regularly practicing in this State.”

The Board also notes that the North Carolina General Statutes define the practice of medicine as
including, “The performance of any act, within or without this State, described in this subdivision by use of
any electronic or other means, including the Internet or telephone.” N.C. Gen. Stat. § 90-1.1(5)f.
July 21-23, 2010
 7/2010 COMMITTEE RECOMMENDATION: Mr. Brosius to contact the Pharmacy Board
and the Nursing Board to determine if they object to the proposed changes and if they
will join in those changes.

7/2010 BOARD ACTION: Adopt the Committee recommendation.

Joint Statement on Pain Management in End-of-Life Care

(Adopted by the North Carolina Medical, Nursing, and Pharmacy Boards)

Through dialogue with members of the healthcare community and consumers, a number of
perceived regulatory barriers to adequate pain management in end-of-life care have been
expressed to the Boards of Medicine, Nursing, and Pharmacy. The following statement
attempts to address these misperceptions by outlining practice expectations for physicians and
other health care professionals authorized to prescribe medications, as well as nurses and
pharmacists involved in this aspect of end-of-life care. The statement is based on:

 the legal scope of practice for each of these licensed health professionals;
 professional collaboration and communication among health professionals providing
palliative care; and
 a standard of care that assures on-going pain assessment, a therapeutic plan for pain
management interventions; and evidence of adequate symptom management for the
dying patient.

It is the position of all three Boards that patients and their families should be assured of
competent, comprehensive palliative care at the end of their lives. Physicians, nurses and
pharmacists should be knowledgeable regarding effective and compassionate pain relief, and
patients and their families should be assured such relief will be provided.

Because of the overwhelming concern of patients about pain relief, the physician needs to give
special attention to the effective assessment of pain. It is particularly important that the
physician frankly but sensitively discuss with the patient and the family their concerns and
choices at the end of life. As part of this discussion, the physician should make clear that, in
some end of life care situations, there are inherent risks associated with effective pain relief.
The Medical Board will assume opioid use in such patients is appropriate if the responsible
physician is familiar with and abides by acceptable medical guidelines regarding such use, is
knowledgeable about effective and compassionate pain relief, and maintains an appropriate
medical record that details a pain management plan. Because the Board is aware of the
inherent risks associated with effective pain relief in such situations, it will not interpret their
occurrence as subject to discipline by the Board.

With regard to pharmacy practice, North Carolina has no quantity restrictions on dispensing
controlled substances including those in Schedule II. This is significant when utilizing the
federal rule that allows the partial filling of Schedule II prescriptions for up to 60 days. In these
situations it would minimize expenses and unnecessary waste of drugs if the prescriber would
note on the prescription that the patient is terminally ill and specify the largest anticipated
quantity that could be needed for the next two months. The pharmacist could then dispense
smaller quantities of the prescription to meet the patient’s needs up to the total quantity
authorized. Government-approved labeling for dosage level and frequency can be useful as
guidance for patient care. Health professionals may, on occasion, determine that higher levels
are justified in specific cases. However, these occasions would be exceptions to general
practice and would need to be properly documented to establish informed consent of the patient
and family.

Federal and state rules also allow the fax transmittal of an original prescription for Schedule II
drugs for hospice patients. If the prescriber notes the hospice status of the patient on the faxed
July 21-23, 2010
document, it serves as the original. Pharmacy rules also allow the emergency refilling of
prescriptions in Schedules III, IV, and V. While this does not apply to Schedule II drugs, it can
be useful in situations where the patient is using drugs such as Vicodin for pain or Xanax for
anxiety.

The nurse is often the health professional most involved in on-going pain assessment,
implementing the prescribed pain management plan, evaluating the patient’s response to such
interventions and adjusting medication levels based on patient status. In order to achieve
adequate pain management, the prescription must provide dosage ranges and frequency
parameters within which the nurse may adjust (titrate) medication in order to achieve adequate
pain control. Consistent with the licensee’s scope of practice, the RN or LPN is accountable for
implementing the pain management plan utilizing his/her knowledge base and documented
assessment of the patient’s needs. The nurse has the authority to adjust medication levels
within the dosage and frequency ranges stipulated by the prescriber and according to the
agency’s established protocols. However, the nurse does not have the authority to change the
medical pain management plan. When adequate pain management is not achieved under the
currently prescribed treatment plan, the nurse is responsible for reporting such findings to the
prescriber and documenting this communication. Only the physician or other health professional
with authority to prescribe may change the medical pain management plan.

Communication and collaboration between members of the healthcare team, and the patient
and family are essential in achieving adequate pain management in end-of-life care. Within this
interdisciplinary framework for end of life care, effective pain management should include:

 thorough documentation of all aspects of the patient’s assessment and care;

 a working diagnosis and therapeutic treatment plan including pharmacologic and
non-pharmacologic interventions;
 regular and documented evaluation of response to the interventions and, as
appropriate, revisions to the treatment plan;
 evidence of communication among care providers;
 education of the patient and family; and
 a clear understanding by the patient, the family and healthcare team of the
treatment goals.

It is important to remind health professionals that licensing boards hold each licensee
accountable for providing safe, effective care. Exercising this standard of care requires the
application of knowledge, skills, as well as ethical principles focused on optimum patient care
while taking all appropriate measures to relieve suffering. The healthcare team should give
primary importance to the expressed desires of the patient tempered by the judgment and legal
responsibilities of each licensed health professional as to what is in the patient’s best interest.
(October 1999)

OLD BUSINESS:

BOARD CERTIFICATION DISTINCTION

7/2009 BOARD ACTION: Approve proposed rule. Proceed with rule-making

process.

9/2009 COMMITTEE DISCUSSION: It was reported that the following rule has been
submitted to the Office of Administrative Hearings to be published in the NC Register.
A public hearing for the purpose of collecting any comments will be held at the
Board’s office on November 30, 2009 at 11:00 am. The proposed rule will be
submitted to the Board at its December meeting for adoption.
July 21-23, 2010
9/2009 BOARD ACTION: Accept as information.

11/2009 COMMITTEE DISCUSSION: It was reported that the following rule has been
submitted to the Office of Administrative Hearings and was published in the NC
Register. A public hearing for the purpose of collecting any comments will be held at
the Board’s office on November 30, 2009 at 11:00 am. The Board continues to
receive comments. The proposed rule and comments collected will be presented to
the Board at its January 2010 meeting for consideration.

11/2009 COMMITTEE RECOMMENDATION: No action necessary.

11/2009 BOARD ACTION: No action necessary.

1/2010 COMMITTEE DISCUSSION: A public hearing was held on November 30,

2009, for the purpose of receiving comments regarding the proposed rule. A
taskforce is currently being assembled to further research and consider this issue.
No action is necessary at this time.

1/2010 COMMITTEE RECOMMENDATION: For information only. No action

necessary at this time.

1/2010 BOARD ACTION: Dr. Jablonski is to appoint a taskforce to further research

and consider this issue.

5/2010 COMMITTEE DISCUSSION: The taskforce has been created and its first
meeting is scheduled for May 18th, 2010.

5/2010 COMMITTEE DISCUSSION: The taskforce has been created and held its
first meeting on May 18, 2010. The taskforce invited additional comments on the
issue to those present and will table this matter until sufficient time has transpired to
allow for additional comment.

5/2010 COMMITTEE RECOMMENDATION: For information only. No action

necessary at this time.

5/2010 BOARD ACTION: Adopt Committee recommendation.

7/2010 COMMITTEE DISCUSSION: Mrs. Apperson addressed the Committee

regarding the May 18, 2010, taskforce meeting. It was suggested that the
Committee consider adding criteria to the proposed rule in order to specify the
requirements that the Board could consider in determining which certifying boards
would be approved to use the term “Board Certified.” The Committee indicated that
there seemed to be a consensus that a licensee must specify what area they are
board certified in when advertising and identify the certifying Board. This would
prohibit a licensee from advertising as being board certified and the board
certification being in a field unrelated to the one being advertised. Additionally, the
Committee pointed out that reporting board certifications for hospital credentialing
purposes is not advertising. It was suggested that the Committee consider defining
advertising. A representative of the NCMS suggested that the rule might work better
in conjunction with a position statement. Dr. Walker pointed out that the Board
originally had a position statement and the proposed rule was an effort to establish
regulatory authority.

7/2010 COMMITTEE RECOMMENDATION: No action taken.

July 21-23, 2010
 7/2010 BOARD ACTION: Adopt the Committee recommendation.

21 NCAC 32Y .0101 is proposed for adoption as follows:

Subchapter 32Y – SPECIALTY AND BOARD CERTIFICATION ADVERTISING

21 NCAC 32Y .0101 ADVERTISING OF SPECIALTY AND BOARD CERTIFICATION

(a) No physician shall advertise or otherwise hold himself or herself out to the public as being
“Board Certified” without proof of current certification by a specialty board approved by (1) the
American Board of Medical Specialties; (2) the Bureau of Osteopathic Specialists of American
Osteopathic Association; (3) the Royal College of Physicians and Surgeons of Canada; (4) a
board or association with an Accreditation Council for Graduate Medical Education approved
postgraduate training program that provides complete training in that specialty or subspecialty;
or (5) a board or association with equivalent requirements approved by the North Carolina
Medical Board.

(b) Any physicians advertising or otherwise holding himself or herself out to the public as “Board
Certified” as contemplated in paragraph (a) shall disclose in the advertisement the specialty
board by which the physician was certified.

(c) Physicians shall not list their names under a specific specialty in advertisements, including
but not limited to, classified telephone directories and other directories unless: (1) they are
board certified as defined in paragraph (a); or (2) they have successfully completed a training
program in the advertised specialty that is accredited by the Accreditation Council for Graduate
Medical Education or approved by the Council on Postdoctoral Training of the American
Osteopathic Association.

History Note: Authority G.S.90-5.1, 90-5.2, 90-14.

LICENSE COMMITTEE REPORT

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

Eleven licensure interviews were considered. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public
information.
July 21-23, 2010
A motion passed to return to open session.

OPEN SESSION
OLD BUSINESS:

1. Statutory Requirement for Postgraduate Training

Issue: At the March 2009 meeting a motion was passed for staff to investigate the feasibility of
changing NCGS 90-9.1(a)(2)a to require completion of more than 1 year of postgraduate
education for graduates of a medical college approved by the Liaison Commission on Medical
Education, an osteopathic college approved by the American Osteopathic Association or The
Committee for the Accreditation of Canadian Medical Schools after graduation from medical
school. 11/09 Board Action: Have legal provide an update at the January 2010 meeting.
Tasked to legal 12/9/09

01/2010 Board Action: Recommend special project assignment to contact stake holders and
research the repercussions it will have on the medical community.

03/2010 Board Action: Legal to provide update at May 2010 meeting.

05/2010 Board Action: Thom Mansfield to continue to get input from stakeholders.

Update: Mr. Mansfield has not undertaken any additional meetings as of yet because it became
clear that the input process would be lengthy and that this session of the legislature was going
to end quickly without any realistic possibility of getting a bill considered this year.

Committee Recommendation: Dr. Kirby and Mr. Mansfield to pursue meetings with
stakeholders regarding the impact of changing the statue will have on the GME programs,
starting with Dr. Gerancher.

Board Action: Dr. Kirby and Mr. Mansfield to pursue meetings with stakeholders regarding the
impact of changing the statue will have on the GME programs, starting with Dr. Gerancher.

2. Legal Residence Status – P. Balestrieri

Staff continues to investigate the most practical way to verify that an applicant is a legal resident
of the US. 11/09 Board Action: Move forward with staff’s proposal. Legal and Licensing
Staff have submitted an application to participate in the SAVE program and are awaiting a
response to the request.

1/2010 Board Action: Accept as information – Staff to provide update at March meeting.

3/2010 Board Action: Department of Homeland Security has backlog. Legal to provide update
at May 2010 meeting.

05/20 10 Board Action: Staff will continue to request status updates from the Department of
Homeland Security every 2 months. Legal will provide updates at next committee meeting.

Update: No news from Save Program. Mr. Balestrieri will continue to check in with them
periodically and report at the September meeting.

July 21-23, 2010

Committee Recommendation: Staff will continue to contact the SAVE program every two
months and report back to the Board until a decision has been made on NCMB’s application.

Board Action: Accept as information.

NEW BUSINESS

3. Criteria for PLOCs on “failure to disclose”

Issue: Dr. Sheppa requests clarification for consistency – see his 4/9 email to Dr. Huff. The
committee discussed setting the criteria for PLOCs.

Board Action: Table until July 2010 meeting.

Committee Recommendation: Accept as information. Continue to consider each application on

an individual basis.

Board Action: Accept as information. Continue to consider each application on an individual

basis.

4. CME Rule Change

Issue: The following amendment to 32B .1303(b) (4) was approved during the June hearings
and submitted to Rules Review as a part of the licensing rules rewrite:

Issue (4) within the past three years, received a practice-relevant, three-year AMA Physician's
Recognition Award or AOA equivalent CME. years completed CME as required by 21 NCAC
32R .0101(a), .0101(b), and .0102

Committee Recommendation: Accept as information.

Board Action: Accept as information.

5. Review of AMA/PRA CME by Board Members for applicants

Issue: Currently, otherwise clean applications which use the AMA/PRA certificate to satisfy the
ten-year rule are routed to Board members for review to make sure the CME is practice
relevant. Staff believes this can be handled by the OMD and Board members consulted on an
as needed basis.

Committee Recommendation: For clean applications in which AMA/PRA certificate is submitted

to satisfy the ten-year rule: OMD will review underlying CME to make sure it is practice relevant.
If so, staff will issue license. If not, or if there is any question, staff will send out for Board
member review.

Board Action: For clean applications in which AMA/PRA certificate is submitted to satisfy the
ten-year rule: OMD will review underlying CME to make sure it is practice relevant. If so, staff
will issue license. If not, or if there is any question, staff will send out for Board member review.

6. Licensing Review Workgroup – Executive Summary

July 21-23, 2010

Issue: Mr. Henderson has put together an Executive Summary of the changes recently made to
the licensing requirements and on-line application. Changes include modifications to the
licensing rules.

Committee Recommendation: Accept as information. Send Amy Whitted at NCMS a copy of

the new license application and relative forms.

Board Action: Accept as information. Send Amy Whitted at NCMS a copy of the new license
application and relative forms.

7. Prior out of state actions for applicants.

Issue: There was a discussion on whether staff should put prior out of state actions on the
licensee information page or allow the licensee to update.

Committee Recommendation: License committee will continue to monitor; a work in progress.

Board Action: Accept as Information.

LICENSE INTERVIEW REPORT

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

Ten licensure interviews were conducted. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public
information.

A motion passed to return to open session.

PHYSICIAN APPLICANTS PRESENTED TO

THE JULY, 2010 MEETING

Abraham, William David

Abu Ahmed, Tahanie
Adamson, Megan Marie
Adegoroye, Adeyinka Abimbola
Ahiarah, Ahunna Ngozi
Ahmad, Tariq

July 21-23, 2010

Ahmad, Zeeshan Naseer
Aitken, Paul Vincent
Akbar, Farooq
Akbary, Hares
Akbary, Silvija
Alauddin, Kashif
Allaboun, Kadry Raji
Alm, Stephanie Shannon Morgan
Andrews, Thomas John
Anthony, Robert Ray
Appel, James Ziegler
Armenta Corona, Jorge Nicolas
Arts, Jeff Patrick
Ashraf, Muhammad Salman
Atisha, Dunya Mary
Atli, Aysel
Atluri, Tej Kumar
Auerbach, Amy Rebecca
Ayepah, Rina
Bacelieri, Rocky Evan
Bailey, Westly Adrian
Baillie, Daniel Robert
Bain, Jesse Colin
Baker, Scott Dillman
Balle, David Scott
Banks, Jeffrey Allan
Barber, Alfred Joseph
Barber, Joseph Richard
Barker, Joseph Uhalt
Barreda, Joyce Ileana
Bates, Shayne Ethan
Beasley, Benjamin Edward
Bellisari, Gregory Ernest
Berenzon, Dmitriy Petrovich
Berliner, Adam Michael
Berman, Lawrence Miller
Bermudez, Jennifer Jane
Bernacki, Gwen Marie
Betro, Joseph R
Beyer, Gregory Robert
Bigger, Elizabeth Sun-Mee
Biswas, Tithi
Black, Mitchell Collins
Block, Geoffrey Douglas
Bocook, Jessica Dawn
Boliek, William Gary

July 21-23, 2010

Bonner, James M
Bourjeily, Nabil Abdallah
Bowman, Natalie McCarter
Braithwaite, Mary Fox
Brown, Angel Aleatha
Brown, Caroline Thomas
Brumit, James Mark
Bruner, David Ingram
Buchanan, Cynthia Elton
Buckingham, Lisa Caroline
Bulsiewicz, William John
Bumgarner, Elizabeth Jane
Bunch, Jennifer Bucci
Butt, Abid Shahzad
Callahan, Kathryn Elizabeth
Campeau, Lysanne
Cannon, Jennifer
Cardell, Deborah Lynn
Carey, Erin Teeter
Carroll, Nicole Summerour
Carter, Kevin Sterling
Cassidy, Amy Lucille
Caudill, Terra Celeste
Chaudhary, Nusrat Ahmad
Cheng, Sybil K
Chia, Stephanie Ming-Way
Chiasson, Melissa Ann
Choudhary, Varun
Clanton, Pamela Anne
Clark, Andrew Douglas
Clark, Aundrea Lynn
Clay, E. Leila Jerome
Clements, Wilson Monroe
Cohen, Jennifer Diane
Collins, Deborah
Connelly, Scott Vincent
Constant, Douglas Lionel
Constant, Peggy
Contreras, Jamie Jaqua
Coopey, Adrienne Ruth
Cox, Natravis Ramon
Dailey, Natalie Janine Miriam
Dartey-Hayford, Samuel Kwame
Daud, Faisal Ahmad
Davidson, Deanna Starr
Dawkins, John Graves

July 21-23, 2010

Day, Jonathan Michael
De Guzman, Joy Imperial
Del Rio Munoz, Jose Mauricio
Demetri, Charalambos
Denny, Gerald Blalock
D'haenens, Joseph Paul
Dickey, Marcy Lynn
Dickinson, Jeri Elizabeth
Dieter, Benjamin Scott
DiGiacomo, Philip John
Dimitrova Koutleva, Dobrinka Velikova
Dodis, Regina
Dolhun, Rachel Marin
Dorfman, Todd Andrew
Dormois, John Carl
Duncan, Scott Meacham
D'Urso, Francis Anthony
Dusek, David Andrew
Eads, Emily Dawn
Ebong, Imo Asuquo
Edwin, Micah Boaz Obadiah
Eichelberger, Kacey Young
Elhaimer, Ahmed
Elssner, Paul Andreas
Erickson, Kimberly McCrudden
Farel, Claire Elise
Fasina, Abiola Abodunrin
Feyissa, Girum Ketema
Fisher, David Andrew
Foltz, Gretchen Marie
Forsha, Daniel Eric
Fortgang, Kenneth
Francis, Geoffrey Alan
Fuller, Lance Robert
Gallagher, Meera Patel
Ghanami, Racheed Joseph
Ghimire, Shanker Mani
Gocke, Ryan Thomas
Goldblatt, Mark Robert
Graham, Rose Corinne
Gray, Alice Lee
Green, Thomas John
Grezaffi, John Adam
Grider, Douglas James
Gutierrez, Javier
Hahn, Paul Sang Do

July 21-23, 2010

Hampson, Mary Suzanne
Hart-Unger, Sarah
Hartz, Douglas Joseph
Hash, Kendall Sibley
Hash, Thomas Walter
Havas, Jeremy D
Hayashi, Masanori
Helm, David Scott
Henderson, Jessica Lynn
Hensley, Justin Paul
Hensley, Katherine Hampshire
Hiestand, Brian Charles
Higgins, Ashantice Kenyana
Hill, Becki Sue
Hines, Chesley
Hinton, Joseph Bryan
Hollrah, Scott Allen
Holmsten, Walter Russell
Howell, Diane Michelle
Hudson, Christopher John
Hudson, Timothy Craig
Hulett, Cidney Scott
Humsi, Juliette Ann
Huneycutt, Benjamin Stuart
Hurwitz, Jennie Rachel
Hussain, Farid M
Ibazebo, Wesley
Ivey, Noel
Jain-Rodriguez, Anitha Kamla
Jakstys, Rima Eleonora
James, Jehana Asaidra
Janjua, Nadia Khan
Jarvis, Amber Marie
Jernigan, Nicholas Allen
Jha, Shivkumar
Johnson, Amy Brook
Jolly, Trevor Augustus
Jones, Jason Matthew
Jonnalagadda, Venkata Ramanamba
Jose, Folashade Adebisi Mueenot
Jou, Janice Hsiao-Lun
Kajoian, Armineh Babaian
Kaldas, Amir Ishak
Kalisetti, Radhika
Kandra, Ajay Kumar
Kansara, Sanjay Chinubhai

July 21-23, 2010

Kanyi, Emmanuel
Kaplan, Keith Jacob
Kapural, Leonardo
Karim, Zakiya Sultana
Karpenko, Matthew J
Kelmenson, Robin Deston
Khan-Hudson, Alia
Khawaja, Fawad Naeem
Khazanie, Prateeti Prabhaker
Khera-McRackan, Naina
Khode, Renu
King, Jeffrey Bryan
Kipikasa, Joseph Henry
Kite, Lisa Lea
Klahr, Phillip D
Knightshead, Kandi Terell
Koch, Spencer Robison
Koreen, Irina V.
Korrapati, Vinod
Kosko, John Herrington
Koul, Sharat
Krishnamurthy, Ashok Subramanian
Krishnan, Pranay
Kuzma, Kevin Robert
Lacap, Anton Peter
Lark, Robert Kamiel
Laudate, James Darrell
Lee, Rusty Joe
Lee, Teng Chun
Li, Jing
Lipata, Fredilyn Manalo
Logan, Scott Donovan
Lowery, Ashlei Williams
Lowery, William Jeffrey
Lustig, David Michael
Lynch, Christopher Raymond
Machado, Ricardo
Maguire, Jennifer Marie
Mahmood, Kamran
Mahoney, Joseph Peter
Makhija, Kanishk
Manning, Rebecca Anna
Manning, Steven Mark
Marshall, Shirley Ann
Martin, Daniel John
Mathers, Keith Jeffrey

July 21-23, 2010

Matley, Ryan Christopher
Mautner, James F
Maximin, Suresh Thomas
May, Monique Danielle
Mayans, Laura Christine
Mayer, Stephanie Brigitte
Mays, Rhett Churchill
McCanta, Anthony Charles
McConahy, Melissa Lynn
McConnell, Stephen David
McHale, Robert James
McLemore, Jerri Lynn
Melvin, James Stuart
Meuse, Megan Clare
Meuse, Michael Anthony
Miller, Thomas Davis
Miller, Timothy Bryan
Ming, David Yung
Mirmow, Dwight Paul
Misra, Dipika
Missick, Benjamin James
Mitchell, Kate Lawrence
Mody, Vaishali R
Moise, Duane Marvin
Mooney, Kimberly L. M.
Moore, Robin Michelle
Moore, Scott Matthew
Moran, Louis Jeffrey
Morgan, Justin Wade
Morris, Deborah Alissa
Moseley, Jonathan Allan
Mostak, Richard Grant
Mourad, Mervat
Mufarrij, Patrick Walid
Mullins, Amanda Catherine
Munford, Loreli Robin
Murphy, James Thomas
Murphy, Robert Bryan
Murphy, Timothy Daniel
Musunuru, Sandeepa
Mynster, Christopher John
Nakhla, Sammy Ghobrial
Nebab, Emmanuel Guillermo
Nguyen, Vu Huu
Niceler, Brock James
Nightingale, Daniel Ray

July 21-23, 2010

O'Connor, Siobhan Marie
Ogugua, Chukwuma Stephen
O'Hara, Peggy Elizabeth
Oliver, Lanta Christine
Ordman, Stanley Allen
Orkubi, Ghada Abdullah
Owens-Sloan, Natalie Christina
Oyelami, Ifeyemi Oyerinsola
Pabon-Ramos, Waleska Michelle
Paolillo, Joseph Anthony
Pappalardi, Jill M
Paquette, Edmond Laurent
Parcel, Ted William
Park, Chan Woo
Paschke, Joshua Kane
Patel, Gautam Ghanshyambhai
Patel, Pranav Dhaneshkumar
Pence, Billy Jack
Pepper, Matthew Daniel
Peragallo, Rachel Marie
Pharr, Emily Poole
Pieleanu, Adrian
Pieleanu, Irina
Pires, Emanuel Lino
Pirozzi, Donald J
Rabb, Forte Calloway
Rahbar, Reza
Rathnam, Punitha Ida
Rauls, Russell Barnes
Ravish, Matthew Edward
Ray, Adrienne Phillips
Ray, Vincent Lavalles Gills
Reece Hartz, Jennifer Leigh
Reisenauer, Christopher Scott
Rhee, Richard Jinho
Riley, Celeste Rita
Ro, Richard Youshin
Roberson, Diana Combs
Rocha, Sean Brian
Rodriguez, Raul
Rojas Balcazar, Juan Manuel
Roman, Philip Emanuel Francois
Rosdahl, Jullia Ann
Rose-Jones, Lisa Jeannette
Rosen, Leslie Bruce
Rosenzweig, Laura Beth

July 21-23, 2010

Ross, Robert R
Rossi, Paul Christopher
Rubio, Ruth Castro
Rudd, Joshua David
Rumbaugh, Christopher Allan
Russell, Gregory Alan
Russell, Mary Catherine
Saenz, Rodrigo Ernesto
Sailey, Charles Joseph
Salama, April Kelly Scott
Salama, Joseph Kamel
Salicru, Adriano Nussa
Samaropoulos, Xanthia Fallon
Sampat, Keeran Ravin
Samuel, Colleen Rochelle
Say, Emil Anthony Ty
Schonberg, Dana Beth
Schroeder, Kristin Marie
Selser, Helen Gordon
Selwane, Pierre Sami
Seward, James Bernard
Sewell, Kia Renece
Shah, Binit Prabhulal
Shah, Tilak Upendra
Shaikh, Khawar Mushtaq
Sharpe, Brent Alexander
Shaw, Jeremy Walter
Sheppard, John Edward
Sherwood, Matthew William
Shipley, Melissa Faith Game
Shoffeitt, John Paul
Sillings, Christine Norton
Sincock, Matthew Curren
Smith, Mackenzie Marie
Smith, Ronald Douglas
Smith, Trent William
Smrtka, Michael Patrick-Bousson
Sodhi, Santosh
Spandorfer, Philip Robert
Spratt, Donna Lee
Stanczak, Jeffrey
Steinberg, Benjamin Adam
Stepp, Kevin James Edward
Sterk, Troy Michael
Stevenson, Marvaretta Miesha
Stewart, Richard McBee

July 21-23, 2010

Stokes, Russell Brent
Stoutamire, Barney Daniel
Strayhorn, Shakonda
Strollo, Stephanie Lauren
Subla, Mir Rauf
Summers, Aerica Sadler
Sumrall, Ashley Love
Sweeney, Alison Evelyn
Swenson, Jason Alan
Syed, Tauseef Gilani
Szekeresh, Linda Ann
Tacktill, Norman
Taylor, Richard Stephen
Tepper, Bryan Kenneth
Terlecki, Ryan Patrick
Theall, Gary Wayne
Thekdi, Ashish Dinesh
Thiyagarajan, Thanigaiarsu
Thomas, Brooke Burkart
Thomas, Cherisse Jamala
Thomas, J George
Thomas, Julian Manuel
Thompson, Corey Adam
Torres-Sy, Maria Aurora Rivera
Trobbiani, Dina Marie
Tsirline, Victor B
Tunks, Robert Daniel
Turakhia, Palak Bipin
Ungerleider, Ross Michael
Uniat, Reuben Wayne
Valentine, Brandon James
Van Tassel, Pamela
Velasco-Trujillo, Juan Carlos
Verdura, Nicholas
Vieages, Ananda Leah
Viechnicki, Tara Marie
Villar, Carlos Eugenio
Villarosa, Leonardo Leopando
Volk, Matthew John
Von Klar, John Lowell
Vu, Thuy L.
Wajida, Ghousia
Walker, Jennifer Azbell
Wallace, Suemoy Solone
Walsh, Michael Joseph
Ware, Patrick Lyle

July 21-23, 2010

Warner, Kristin Kay
Watford, John Wesley
Watts, Jonathan Michael
Weatherall, Justin Madison
Webb-Wood, Sarah
Wei, Benjamin
Weiss, Jared
Weitenberner, Nicholas Alan
Wells, Hamilton Jason
Welsh, Ian Robert
Wendell, Jonathan Craig
Wershba, Elisa Cheryl
Westervelt, Justin David
Westwater, Joseph James
Whitehead, Lisa Ann
Whitlock, Sandra Nasrallah
Whitlock, Tom Lee
Wick, Mark Robert
Wilkins, John Jasper
Williams, Amy Halbert
Williams, Jefferson Gary
Willinger, Samuel Michael
Wilson, George Dean
Woolard, Douglas Winfield
Workman, James Leonard
Wright, Jean A.
Wroblewska-Shah, Joanna Monika
Xie, Qingmei
Yanagi, Grant Jeffrey
Young, Michael Peter
Yuan, John Qing
Zacharias, Julie Anne
Zamor, Philippe Jude
Zani, Sabino
Zhou, Li

Reinstatement
Anthony, Robert Ray
Barber, Alfred Joseph
Bermudez, Jennifer Jane
Boliek, William Gary
Fisher, David Andrew
Fuller, Lance Robert
Hill, Becki Sue
Hines, Chesley
Huneycutt, Benjamin Stuart
July 21-23, 2010
May, Monique Danielle
Mirmow, Dwight Paul
Oliver, Lanta Christine
Orkubi, Ghada Abdullah
Samuel, Colleen Rochelle
Taylor, Richard Stephen
Ungerleider, Ross Michael
Uniat, Reuben Wayne

Reactivation
Clanton, Pamela Anne

Faculty Limited License

Carey, Erin Teeter
Francis, Geoffrey Alan
Say, Emil Anthony Ty

Retired Volunteer License

Wilson, George Dean

Special Volunteer License

Spandorfer, Philip Robert

Initial PA Applicants Licensed 05/01/10 – 06/30/10

PA-Cs

Name

Alston, Veronica Lynn 05/26/2010

Belabin, Jeffrey Howard 05/12/2010
Bender, Jenna Daggett 05/28/2010
Bennett, Kelly Anne 05/03/2010
Bernal, Lindsay Scales 06/11/2010
Boles, Katharine Olivia 06/15/2010
Bortner, Stephanie June 06/23/2010
Bosley, Jeffrey Scott 06/02/2010
Boyce, Clifford Vernon 05/13/2010
Boykin, Ryan Elizabeth 06/08/2010
Butler, Eric Ryan 06/17/2010
Cabaniss, William Carlton 06/21/2010
Chan, Kate Wai-Ki 05/21/2010
Cockerham, Jessica Danyel 06/04/2010
Connell, Jennifer 06/14/2010
Dammen, Peter Scott 06/11/2010
Davis, TraVonda 06/14/2010

July 21-23, 2010

Downs, Marc Andrew 06/30/2010
Drabik, Joanna K 05/21/2010
Entzi, Emily Suzanne 06/04/2010
Everidge, Julie 06/17/2010
Foley, Brianne 06/11/2010
Galli, Lindsay Marie 06/15/2010
Geiple, Joshua Scott 06/07/2010
Girocco, Susanna Lee 06/30/2010
Halla, Brian Louis 06/30/2010
Haynes, Elizabeth Miles 06/04/2010
Heggerick, Gretchen Elizabeth Austin 06/14/2010
Heins, James Florian 06/01/2010
Heslep, Mallory Gwen 06/04/2010
House, Ashley Renee 06/30/2010
Huber, Tracey Nicole 06/14/2010
Hunt, Bethany Jordan 06/07/2010
Ide, Christina Marie 06/17/2010
Imboden, Lauren Whisenant 06/21/2010
Jackson, Brittany Amber 06/11/2010
Kiehle, Adrienne Marie 06/15/2010
Kline, Britney Dawn 06/29/2010
Koepp, Peter Christopher 05/24/2010
Kreger, Edward Lance 06/11/2010
LaFayette, Sara 06/23/2010
Lamberson, Faith Nicole 05/26/2010
Lauer, Thomas M 05/26/2010
Lyon, Christopher 06/11/2010
Lyons, Jennings DeWayne 06/24/2010
McClure, Erin Louise 05/03/2010
McCutcheon, Leslie Ann 06/30/2010
McDaniel, Denise Wilson 06/11/2010
McLamb, Michael Andrew 05/21/2010
Miedema, Marcia Garris 06/11/2010
Nordbladh, Louise Ingegerd Charlotta 06/18/2010
O'Neil, Brianna Jean 06/14/2010
Parmley, Deidre Jannell 06/17/2010
Peacock, Brian Barkley 06/18/2010
Plate, Anne C 06/15/2010
Reed, Courtnay Works 06/04/2010
Reese, Niki 06/28/2010
Rezac, Darcy Jo 06/11/2010
Rice, Easton Martin 05/26/2010
RockWiley, Keith Steele 06/23/2010
Roczniak, Regina Jo 05/26/2010
Rogers, Samantha Deviney 06/07/2010
Rutherford, Annie 05/26/2010

July 21-23, 2010

Scott, Rachelle Ranee 06/24/2010
Shaffer, Simon-Peter 05/06/2010
Smith, Matthew Thomas 06/23/2010
Speight, Jamie Leigh 06/23/2010
Steerman, James G 06/15/2010
Turner, Lauren Blake 06/01/2010
Von, Karla Virginia 05/04/2010
Wall, Philly Marie 06/28/2010
Weiland, Daniel Mark 06/22/2010
Wheeler, Kevin Lynn 05/24/2010
Wilkens, Lyndsay 06/23/2010
Williams, Mathew Wade 06/04/2010
Wood, Charles Christopher 06/22/2010
Zachman, Melissa Clare 06/28/2010
Zastudil, Amanda Sue 05/03/2010

PA-Cs Reactivations/Reinstatements/Re-Entries

Johnson, Betty Lynne Wallace 06/10/2010

Nicholson, Janice 06/16/2010
Pixton, Jan Maree 06/23/2010
Seal, James Hargett 06/03/2010

Additional Supervisor List – 05/01/10 – 05/31/10

PA-Cs

Name Primary Supervisor Practice City

Amos, Clifford Blyth, Stacey Tarboro

Arbogast, Tanya Burnett, Tara Raleigh
Arbogast, Tanya Feinson, Theodore Raleigh
Babb, Richard Fogartie, James Raleigh
Balsly, Josh Idrissi, Rachid Benson
Barboza, Bryan Lostetter, Stephen Gastonia
Barrow, Kern Palega, Gregory Wallace
Bath, Deanna Cantuaria, Guilherme Charlotte
Bath, Deanna McDonald, John Charlotte
Belabin, Jeffrey Minior, Daniel Dunn
Bennett, Kelly Vesa, Allin Statesville
Bonito, Jeffrey Unks, Dennis Asheville
Branstetter, Annie Carroll, Eben Winston Salem
Buchanan, Misty Nnadi, Victoria Kernersville
Burkes, Cynthia Lee, Melvin Fuquay-Varina
Burns, Tricia Lacin, Robert Raleigh
Carpenter, Iliana Perez-Navarro, Paul Wilson

July 21-23, 2010

Collins, Amanda Young, Carol Fort Bragg
Collins, Ann Smith, Jarvis Burlington
Craig, Dinah Saini, Hari Fayetteville
Craver, Amelia Lee, Melvin Clayton
Del Rosario, Josephine Williams, Jonathan Kinston
Downing, Karol Almirall, Peter Oak Island
Downing, Karol Forstner, James Southport
Driebeek, Mary Keenan, Robert Durham
Drinkwater, Don Collins, Roger Cary
Dugliss, Malcolm Groh, Mark Asheville
Dye, Jennifer Henry, Christy Raleigh
Efird, Mark Lutz, Charles Gastonia
Emler, Sherlynn Saltz, James Snow Hill
Ensign, Todd Richardson, Wendell Emerald Isle
Farmer, Kimberly Frankos, Mary Wilmington
Franklin, Amy Aklilu, Mebea Winston Salem
Galban, Carlos Grossell, Michael Shelby
Gocke, Thomas Messerly, David Raleigh
Godwin, Anita Wilson, Lisa Kings Mountain
Gonzalez, Eugenio Lacroix, Christopher Warsaw
Gore, William Meyer, Mitchell Wilmington
Hage, Suzanne Smithson, Robert Raleigh
Harris, Brenda Faison, Vanosia Durham
Hayes, Kathleen King, Lunsford Wilmington
Hendrix, Anne Silver, Marc Raleigh
Herlihy, Michelle Okonkwo, Ifeyinwa Fayetteville
Hill, Sylvie Daubert, James Durham
Hinds, David Broadwell, Richard Goldsboro
Holland, Geoffrey Harris, William High Point
Holler, Teresa McCann, Shawn Carolina Beach
Hollingsworth, Robert Stuart, Dennis Lumberton
Hudak, Nicholas Massey, Edward Durham
Hudak, Nicholas Morgenlander, Joel Durham
Hudak, Nicholas Skeen, Mark Durham
Hughes, Jo Sena, Carol Greensboro
Huynh, Tam Olmedo, Mario Durham
Izaj, Nicholas Le, Tri High Point
Johannes, Julie Naziri, Wade Greenville
Keller, Michael Ballard, William Dobson
Kellermeyer, Angela Croland, David Waxhaw
Kerchner, Bryan Barron, Jerry Charlotte
Kerchner, Bryan Homesley, Howard Charlotte
Kirsch, Eric Braunstein, Andrew Mooresville
Kirsch, Eric Giallanza, Peterson Mooresville
Kowaleski, Jennie Israel, Rodger Raleigh
Laws, Steven Moyer, Frank Winston Salem

July 21-23, 2010

Lawyer, Christopher Elmahdy, Wagdy Winston Salem
Leaman, Jason Gibbons, Gregory Raleigh
Lee, Allyson Barnes-Durity, Monica Newton Grove
Lee, Allyson Subedi, Rajesh Newton Grove
Lentz, Jennifer Kelley, Michael Charlotte
Lockett, Amy Morris, Deborah Fayetteville
Lowder, Richard Tatter, Stephen Winston Salem
Malivuk, William Forstner, James Southport
Marion, Wade Rhyne, Darryl Elkin
Martin, Patrick Freed, Cindy Murphy
Martin, Patrick Hayes, Laneau Murphy
McClure, Erin Zinicola, Daniel Rocky Point
McHatton, Timothy DeVirgiliis, Juan Boone
McLaughlin, Thomas Freund, Victor High Point
Melgar, Tammy Gootman, Aaron Fayetteville
Migdon, Steven Guha, Subrata Wilson
Miller, Kevyn Kaminski, David Burlington
Minor, David Nanjagowder, Velukumar Winston Salem
Mitchell, Russell Hoski, James Asheville
Mitchell-Barnes, Donna Ainolhayat, Cecilia Fayetteville
Moretz, Katherine Glenn, David Brevard
Munn, William Lobao, Celso Rocky Mount
Ochs, Jeffrey Cromer, John Wilmington
Paris, Melissa Hudson, Jennifer Salisbury
Patel, Roshni Lin, Shu Durham
Peifer, Jennifer Stouffer, George Chapel Hill
Pennell, Shannon Hamilton-Brandon, Luredean Lenoir
Person, Jennifer Playford, Scott Jacksonville
Polk, Aimee Mattox, William Castle Hayne
Porter, Allison Borchelt, Bret Winston Salem
Quintero, Tammi Andy, Camille Oak Ridge
Rabon, Patricia Morris, Deborah Fayetteville
Rabon, Patricia Ogunwo, Susannah Fayetteville
Ramsey, Pamela Fleury, Robert Pinehurst
Randolph, Mark Hooper, Thomas Wilson
Renn, Amber Butler, Brad Angier
Richardson, Keri Chaudhry, Abdul Raleigh
Rigsbee, William Palega, Gregory Wallace
Rigsbee, William Zinicola, Daniel Rocky Point
Robb, Sybil Benitez-Graham, Ana Mebane
Roczniak, Regina Dickson, Christopher Greensboro
Roth, Samuel Khoudary, Kevin Cary
Russell, Douglas Elston, Scott Burlington
Rutledge-Holt, Debbie Richards, Michael Fort Mill
Sawyer, Lindsay Gibbons, Gregory Knightdale
Schade, Jana Williams, Jonathan Kinston

July 21-23, 2010

Scott, Tracy Shadad, Firas Greensboro
Shanton, Gregory Whitlock, Gary New Bern
Sheehan, James Sullivan, David Charlotte
Sherron, Katherine Law, Michael Raleigh
Shier, Trilby Albert, Deborah Wilmington
Shirlen, Andrew Kiser, Andy Pinehurst
Skaggs, Bethany Brezicki, Paul Concord
Skulavik, Patricia Zellinger, Michael Dunn
Steimle, Theresa Choi, Jiho Spring Lake
Stephens, Robert Flanders, Paul Asheville
Swierz, Jennifer Young, Carol Ft Bragg
Trent, Margie League-Sobon, Jennifer High Point
Turner, Donald Pathan, Ayaz Sanford
Van Vooren, Amy Riser, Mark Louisburg
Von, Karla Meyer, Clinton Wilmington
Wallace, Connie Saltzman, Leonard Albemarle
Walls, Linda Rose, Gregory Raleigh
Ward, Tod Wiggins, David Thomasville
Weiss, Stanley Palega, Gregory Wallace
Wheeler, Merritt Luoma, David Dallas
White, Dale Rehfield, Amy Knightdale
Williams, Clifton Taylor, Marshall Greenville
Wrenn, Cynthia Gootman, Aaron Fayetteville
Wypych, Kelly McGinnis, LaMar Charlotte

Additional Supervisor List – 06/01/10 – 06/30/10

PA-Cs

Name Primary Supervisor Practice City

Acker, Shekitta Weigle, Nancy Durham

Adams, Jason Gootman, Aaron Fayetteville
Agresta, Dominic Frankos, Mary Wilmington
Alcala, Jose Coleman, Ralph Durham
Alfano, Brian Prather, Trina Durham
Alves, Leonilde Epling, Carol Durham
Ambroise, Marie-Jacques Hooper, Jeffrey Durham
Andrews, Maureene Kauth, Brian Hickory
Avery, Leanne Steinl, Kevin Greensboro
Babb, Richard Baule, Raymond Rocky Mount
Bacon, Jenise Hunt, Mary Greensboro
Baker, David Kilby, Larry Taylorsville
Ballenger, Ann Wofford, Marcia Winston Salem
Bass Ransom, Julie Trani, Paul Hendersonville
Beard, Christina Aul, Christopher Fayetteville,
Beauman, Glenn Clark, Edward Wilson
July 21-23, 2010
Beauman, Glenn Clark, Eilis Wilson
Beauman, Glenn Jones, Jeffrey Wilson
Bennett, Kelly Thompson, Donovan Lincolnton
Bennett, Rachel Sloan, Randy Hampstead
Bernal, Lindsay Kon, Neal Winston Salem
Binstock, Michael Sloan, Randy Hampstead
Blelloch, Lawrence Burnett, Tara Raleigh
Blumenthal, Susan Graham, Mark Cary
Blumenthal, Susan Lerro, Keith Wilson
Bogdanova, Galina Cabral, Gonzalo Wilson
Boles, Katharine Aklilu, Mebea Winston Salem
Bolt, Carol Allgood, Sara Charlotte
Bolt, Carol Runyon, Michael Charlotte
Bolt, Carol Vaden, Tracela Charlotte
Bortner, Stephanie Whitman, Bruce Lumberton
Bost, Derek Lowry, David Lenoir
Boykin, Ryan Kon, Neal Winston Salem
Bradshaw, Johnnie Ohl, Matthew Charlotte
Branum, Stephen McKaraher, Charles Hickory
Briggs, Melvania Graddy, Logan Durham
Brothers, Shaun Guha, Subrata Raleigh
Brown, Jennifer Sinden, John Raleigh
Brown, Jessica Hinson, Thomas Winston Salem
Buck, Philip Gagliano, Louis Fayetteville
Bumgarner, Mary Kathryn Hook, Matthew Raleigh
Burnett, Kristin Howard, Chad Charlotte
Buschemeyer, Kristin Bullard, Dennis Raleigh
Buschemeyer, Kristin Carr, James Raleigh
Buschemeyer, Kristin Curzan, Mark Cary
Bush, Kenneth Guerrini, James Winston Salem
Bush, Kenneth Lue, Alvin Winston Salem
Campbell, Kimberly Henry, Christy Raleigh
Carlson, William Dewees, Steven Kannapolis
Carter, Alnissa Elston, Scott Cary
Carter, Paula Goad, Bradley Galax
Carter-Adkins, Danielle Helman, Steven Winston Salem
Carter-Adkins, Danielle Toborg, Robert Winston Salem
Cawley, Kathryn Kuo, Paul Durham
Chambers, Gregory Barnabei, Robert Huntersville
Chambers, Gregory Barnabei, Robert Huntersville
Chance, Jeffery Cannon, Brett Albemarle
Chance, Jeffery D'Amico, Paul Albemarle
Chavis, Anthony Burnett, Tara Raleigh
Chen, Yuegang Marterre, William Winston Salem
Chen, Yuegang Stuart, Samuel Winston Salem
Chester, David Dallis, James Highpoint

July 21-23, 2010

Chester, David Rowley, Mark High Point
Chester, David Rowley, Mark Highpoint
Chester, David Thompson, David High Point
Clark, Adam Ball, Frank Laurinburg
Clark, Adam Moore, Jeffrey Laurinburg
Clarke, Karen O'Donnell, Timothy Durham
Clarke, Theresa Oseki, Collins Angier
Clement, Ryan Michau, Kenneth Raleigh
Cockerham, Jessica Morgan, Amy Concord
Coggin, Sharon Vassallo, Peter Pinehurst
Colley, Harvey Dewees, Steven Lincolnton
Collins, George Gullickson, Matthew Matthews
Collins, Kristin Duncan, Catherine Raleigh
Collins, Kristin Godbout, Christopher Raleigh
Collins, Kristin Reznik, Mark Raleigh
Collins, Kristin Singh, Paul Raleigh
Combs, Glen Gardner, Donald Mt. Airy
Connell, Jennifer Elston, Scott Morrisville
Connor-Riddick, Tracy Menscer, Darlyne Charlotte
Connor-Riddick, Tracy Sullivan, David Charlotte
Connot, Tony Gullickson, Matthew Matthews
Cooper, Donna Bahner, Richard Wilmington
Copeland, Chanel McCorry, James Oxford
Cowen, Christopher McFadden, John High Point
Crenshaw, Sharon Griffin, Ashton Goldsboro
Crenshaw, Sharon O'Daniel, Mark Rocky Mount
Cvelic, Patrick Galaska, Piotr Thomasville
Cvelic, Patrick Keller, Mark Mocksville
Dale, Henry Marshall, William Clemmons
Dammen, Peter Jacubowitz, Sam Greensboro
Roanoke
Dang, Kim Anh Antony, Jose Rapids
Davidson, Jeremy Highley, Timothy Hendersonville
Davidson, Teresa Highley, Timothy Hendersonville
Davis, Demetria Ladapo, Jumoke Fayetteville
Dawson, Melanie Millard, Jonathan Charlotte
Day, Jerry Beamer, Mark Belhaven
Deakle, Mary Holland, James Winston Salem
Dec, Brandon Kirby, Alex New Bern
DeMio, Brian Krull, Ronald Clinton
DeMio, Brian Palega, Gregory Wallace
Denton, Ronald Bowman, Robley Morganton
DeRose, Sarah Chao, Nelson Durham
DeSantis-Wilcox, Maria Robinson, Lindwood Raleigh
Detrick, Joshua Coles, Robert Morehead City
Dillard, Wilbert Dockery, Pamela Winston Salem
Dillon, Lindsay Gioffre, Ronald Greensboro
July 21-23, 2010
Dillon, Lindsay Gioffre, Ronald Greensboro
Dillon, Lindsay Jacubowitz, Sam Greensboro
Dochow, Jeffre Bush, Andrew Sanford
Dore, Mary Le, Mark Charlotte
Dore, Mary Stowe, Mary Charlotte
Downing, Karol Jones, Michelle Leland
Drago, David Freidinger, Brad Concord
Drinkwater, Don Alioto, Richard Smithfield
Drinkwater, Don Bullard, Dennis Raleigh
Drinkwater, Don Jones, Monica Raleigh
Drinkwater, Don Krupski, Tracey Raleigh
Drinkwater, Don Visco, Anthony Durham
Dudley, Gilian Fowlkes, William Louisburg
Dye, Jennifer Burnett, Tara Raleigh
Dziminski, Veronica Cappola, James Cary
Edwards, Amanda Holt, Elizabeth Raleigh
Eisenberg, Lindsey Corvino, Timothy Gastonia
Eley, Katina Jones, Colin Ahoskie
Ellingwood, Jamie Mahar, Matthew Sylva
Ellingwood, Jamie Moretz, Christian Sylva
Eng, John Wright, Eugene Fayetteville
English, Joan Shaw, James Pisgah Forest
Entzi, Emily Neulander, Matthew Charlotte
Entzi, Emily Okonkwo, Ifeyinwa Fayetteville
Evans, Shannon Whitman, Bruce Lumberton
Faircloth, Cristie Boyle, Joseph Wilmington
Faircloth, Marisa Stonecipher, Karl Greensboro
Farmer, Joseph Mattox, William Castle Hayne
Farmer, Kimberly Elston, Scott Wilmington
Field, Ronald Gullickson, Matthew Matthews
Fina, Jillian Kon, Neal Winston Salem
Fisher, Jessica Williams, Matthew Wilmington
Forbes, Jennifer Sutton, Sidney Elizabeth City
Forgach, Mary Gupta, Manoj Fayetteville
Fox, Elaine Harvey, Henry Greensboro
Freeman, Leigh Bell, Joseph Pembroke
Freeman, Leigh Harris, Glenn Laurinburg
Freeman, Leigh Harris, Glenn Laurinburg
Fricklas, Elizabeth Vlahovic, Gordana Durham
Friedman, Erica Acharya, Anjana Durham
Fuqua, Mandria Seward, Daniel Charlotte
Futh, Stephen Oak, Chang Washington
Gadomski, Ann-Marie Evans, Michael Smithfield
Gallagher, Claudia Kuo, Paul Durham
Galli, Lindsay LeCroy, Charles Asheville
Garbia, Waseem Lee, Melvin Cary

July 21-23, 2010

Gatlin, Stephen McCutchen, Jeffrey Monroe
Geiple, Joshua Steinl, Kevin Greensboro
Gentile, Elizabeth Price, Billy Mt. Holly
Giddings, Joseph McCaleb, Jane Scotland Neck
Giglio, Michelle Overton, Edward Gastonia
Gilbert, Tonya Sloan, Douglas Fayetteville
Gilbert, Tonya Spooner, Linda Fayetteville
Goddard, Alan Jones, Colin Ahoskie
Goller, Linda Morris, John Flat Rock
Gomes, Alvaro Doohan, Thomas Monroe
Gomez, Victor Lowry, Terry Lumberton
Goodwin, Gregory Rich, Robert Elizabethtown
Gould, Laura Lee, Kenneth Greenville
Grafton, Nancy Lindsay, Maryanne Winston Salem
Granzow, Paul Litwak, Joseph Rutherford
Graudons, Douglas Ohl, Matthew Charlotte
Gregory, Richard Bunn, Barry Tarboro
Gregory, Richard Kim, Ian Greenville
Grice, Jessica Powell, Bayard Winston Salem
Grosshans, Christina Seitz, Kent Winston Salem
Grullon, Rosemary Rish, Carlos Charlotte
Gunter, Jane Ajao, Olufolarin Gastonia
Haikal, Melissa Schmitz, Todd Charlotte
Hall, Laura Brown, Stephanie Franklinton
Harper, John Rosen, Robert Winston Salem
Harrell, Mark Daly, Claudia Greenville
Hayes, Kathleen Davenport, Barbara Wilmington
Haynes, Elizabeth Nycum, Lawrence Winston Salem
Heath, Jerry Hubbard, Laura Hays
Hedrick, Jessica Meier, John Raleigh
Heggerick, Gretchen Kostuchenko, Paul Winston Salem
Hemp, Antoinette Wonsick, Melinda Jefferson
Herlihy, Michelle Taiwo, Adebukola Fayetteville
Heslep, Mallory O'Brien, David Winston Salem
Heslep, Mallory OBrien, David Winston Salem
Hiatt, Tiffany Shepherd, Jack Matthews
Hibbard, James Sharma, Anuj Weddington
Hipp, Karin Williams, Jennelle Chapel Hill
Hlavacek, Sarah Law, Michael Raleigh
Hoag, David Vesa, Allin Statesville
Hollingsworth, Robert Gupta, Madhur Red Springs
Holmes, Debra Jennette, Albert Durham
Holt, Rebecca Elston, Scott Cary
Hopkins, Shawn Barsanti, Christopher Greenville
Horton, Ann Rader, Dale Statesville
Horton, Tiffany Forstner, James Southport

July 21-23, 2010

Horton, Tiffany Langston, Bernard Shallotte
Horton, Tiffany Njapa, Anthony Wilmington
Hudson, Charles Greenberg, Brent Greensboro
Hughes, Kristina Kadiev, Steven Charlotte
Hughes, Kristina Kremers, Scott Charlotte
Hunnings, Blakely Evans, Michael Smithfield
Hunt, Bethany Wentz, Elliott Greensboro
Hunt, Hal Bethel, Bradley Laurinburg
Hunt, Hal Rowson, Jonathan Laurinburg
Hunt, J. Hollar, Larry Winston Salem
Hurst, Kathleen Shaheen, Nicholas Chapel Hill
Jackson, Kierney Luoma, David Dallas
James, David Lutz, Charles Gastonia
Jones, Kathy Miekley, Scott Raeford
Jung, Min Jin Nutz, Joseph Morehead City
Kearney Sawyer, Elizabeth Armstrong, Robert Asheville
Kearns, Amy Applegate, Michael Asheboro
Kearns, Amy Pinyan, Clark Asheboro
Keeler, Nancy Gibbons, Gregory Cary
Kelley, Timothy Armistead, Hal Huntersville
Kelley, William Stroup, Daniel Murphy
Kern, Christopher Branyon, David Taylorsville
Kinnally, Steven Saunders, George Calabash
Kirsch, Eric Kanelos, Dino Charlotte
Kirsch, Eric Neulander, Matthew Charlotte
Kish, John Flanders, Paul Asheville
Kish, John Jaffe, Michael Clyde
Kish, John Ursin, Gabriela Clyde
Kish, John Zellner, Eric Clyde
Knowles, Carol Ramos, Richard Greensboro
Kobuszewski, Shani Adcock, Jimmie Charlotte
Kobuszewski, Shani Albright, Harold Charlotte
Kobuszewski, Shani Bullock, William Charlotte
Kobuszewski, Shani Edwards, Jonathan Charlotte
Kobuszewski, Shani Resto, Wilma Charlotte
Kobuszewski, Shani Revis, Sheley Concord
Kowaleski, Jennie Ajmani, Ajay Apex
Kozlow, Ayanna Azzi, Anthony Raleigh
Kramer, Clifford Ohl, Matthew Charlotte
Kreger, Edward Campos, Kevin Greensboro
Kunz, Erin Riedel, Richard Durham
Kurtz, Harry Bullard, Dennis Raleigh
LaCombe, Paula Anthony, Meredith Fort Bragg
LaFayette, Sara Faulkenberry, Bradford Laurinburg
LaFuria, Jeffrey Reznik, Mark Raleigh
Layman, Paul Dewees, Steven Shelby

July 21-23, 2010

Leamy, Gregory Burnett, Tara Raleigh
Lechner, Jonathan Hsu, Kevin Charlotte
Leiken, Shuli Bhiwandiwalla, Pouruchis Raleigh
Leiken, Shuli Bullard, Dennis Raleigh
Leiken, Shuli Gupta, Pankaj Cary
Leiken, Shuli Kagan, Steven Raleigh
Leiken, Shuli Mong, James Raleigh
Leiken, Shuli Oschwald, Donald Raleigh
LeSuer, Hayley D'Amico, Paul Albemarle
Levan Elbel, Stephanie Bowling, Mark Clayton
Lewis, Michael Maultsby, James Clinton
Liepins, Andrew Burnett, Tara Raleigh
Lloyd, John Requarth, Jay Winston Salem
Long, Ashley Jacubowitz, Sam Greensboro
Long, Ashley Thomas, Christopher Winston Salem
Long, Michael Ohl, Matthew Charlotte
Loper, Courtney West, Thaddeus Goldsboro
Lordeus, Tajuana Glaser, Mark Fayetteville
Lupton, Amy Daly, Claudia Greenville
Lyon, Christopher Groh, Gordon Asheville
Mabout, Sonia Caddick, William Gastonia
Mabout, Sonia Danis, Henry Gastonia
Maddux, Joseph Henry, Christy Raleigh
Maestas, Rebecca Oak, Chang Plymouth
Mahar, Suzanne Reyes, Rodolfo Holly Springs
Mahiquez, Jose Evans, Michael Smithfield
Mann, Karen Daly, Claudia Greenville
Manno, Salvatore Flanders, Paul Asheville
Marion, Gail Lichstein, Peter Winston Salem
Marion, Wade Vargas, Ramon Elkin
Martin, Jennifer Lee, Melvin Clayton
Martinelli, Kathleen Law, Michael Raleigh
Matkovich, Matthew Outen, Ronnie Wadesboro
Mattera, Paul McDaniels, Christopher Raleigh
McCaffrey, James Toborg, Robert Winston Salem
McCarty, Martha Aiken, Christopher Winston Salem
McDaniel, Denise Orlowski, Richard Hickory
McDaniel, Denise Tate, Michael Hickory
McIntosh, Dale Kincaid, Edward Winston Salem
McKnight, Susan Oak, Chang Plymouth
McLaughlin, Todd Ohl, Matthew Charlotte
McNaught, Noelle Kadiev, Steven Charlotte
Roanoke
Melgar, Tammy Antony, Jose Rapids
Melgar, Tammy Ballenger, Clarence Jacksonville
Melgar, Tammy Richardson, Wendell Jacksonville
Mercer, Christopher Miller, Jon Wilmington
July 21-23, 2010
Mercer, Christopher Rodger, Robert Wilmington
Miedema, Marcia Locklear, Jimmy Raleigh
Migdon, Steven Vu, Khanh Henderson
Miller, Richard Zackowski, Scott Greensboro
Montgomery, Jeremiah Riser, Mark Smithfield
Morcos, Greta Webster, Leslie Charlotte
Morcos, Greta Zbinden, Louis Charlotte
Morelli, Scott Minior, Daniel Rocky Mount
Moreno, Paula Flitt, Bruce Gastonia
Morgan, Leslie Davis, Ryan Clyde
Munching, Aaron Warden, Kendall Durham
Mundy, Jonathan Malinda, Paul Burlington
Munn, William Dauda, Mohamed Rocky Mount
Murphy, Michael Spencer, Honnie Concord
Murphy, Michaela Guse, Steven Wilmington
Muse, Rochelle Andy, Camille Kernersville
Muse, Rochelle Miller, Stephen Reston
Muse, Rochelle Orr, Richard High Point
Muse, Rochelle Snider, Alison Kernersville
Nazmi, Mehrnoush Kuo, Paul Durham
Nelson, Stacy Whitman, Bruce Lumberton
Newton, Meredith Cheesborough, John Sanford
Nguyen, Brigitte Campos, Kevin Greensboro
Nguyen, Brigitte Pickering, Nathan Greensboro
Nguyen, Brigitte Tucich, Peter Greensboro
Nicholson, Janice Gerardo, Charles Durham
Niehues, Denise Luckadoo, Laura Hickory
Nielsen, Alicia Raj, Vishwa Charlotte
Ogunwale, Michelle Semeko, Eric Charlotte
Ogunwale, Michelle Sunderland, Brent Charlotte
OKeefe, Shawn Gullickson, Matthew Charlotte
Oles, James Clark, David Whiteville
Olson, Jennifer DiOrio, Christopher Huntersville
Orji, Nneka Gammon, Gary Gastonia
O'Sullivan, Robert Drake, Almond Greenville
Pace, S. Brown, Howard Jacksonville
Page, Constance Kelley, Steven Clinton
Parrish, Thomas Hill, Mary Ahoskie
Parrish, Thomas Lyons, Esther Ahoskie
Parsons, Dean Crabtree, Thomas Avon
Patel, Tanaya Go, Brian Raleigh
Patterson, Jimmy Lykins, Kimberly Albemarle
Patterson, Miriam Velez, Ramon Winston Salem
Peacock, Brian Waters, Gregory Winston Salem
Perkins, Alison Skinner, Elizabeth Winston Salem
Perrotta, Philip Kuzma, Paul Pinehurst

July 21-23, 2010

Pettit, Jerome Rosner, Michael Hendersonville
Phillips, James Kelley, Steven Clinton
Pineiro, Miguel Norton, Deborah Fuquay-Varina
Poovey, Leah Rinehart, David Belmont
Powell, Debra Hoffman, Stanley Denver
Powell-Boone, Karen Boyle, Joseph Wilmington
Primak, Michael Campbell, Sausan Asheville
Pulliam, Charles Hester, Laura Siler City
Purcell, Craig Godfrey, Wanda Garner
Queen, Julie Zia, Shams Wilson
Quillen, Rocky Demas, Ronald Wilmington
Ramm, Allen Hunt, Jason Asheville
Randolph, Mark Brown, Richard Wilson
Rathey, Kenneth Wiener, Dana Durham
Ray, Kimberly Connolley, Christopher Winston Salem
Reagan, Kathleen Pridgen, James Fayetteville
Reid, Aubrey Evans, Michael Smithfield
Reuter, Eric Lawing, William Winston Salem
Rezac, Darcy Dickerson, Janice Wilmington
Rice, Easton Leggett, Kelly Greensboro
Rice, Patricia Pancoast, Thomson Greenville
Richards, Dick Dagenhart, Timothy Salisbury
Rigsbee, William Sloan, Randy Holly Ridge
Riley, Elizabeth Partridge, James Durham
Rippel, Janet Parnell, Jerome Raleigh
Robb, Sybil Seewaldt, Victoria Durham
RockWiley, Keith Nederostek, Douglas Laurinburg
Roeser, Julie Lestini, William Raleigh
Rojas, Brian Bovard, Scott Wake Forest
Rojas, Brian Inge, Jack Raleigh
Rojas, Brian Lee, Paula Durham
Rojas, Brian Visco, Anthony Durham
Rojas, Brian Vulgaropulos, Spyro Cary
Romblad, Katrina Morgan, Gary Winston Salem
Romero, Veronica Chiodo, Mary Dunn
Royal, Ja-Na' Yarnall, Kimberly Durham
Ruffian, William Williams, Jonathan Kinston
Ruliffson, Kathryn Ajmani, Ajay Apex
Russell, Karen Frankos, Mary Wilmington
Rutherford, Althea Singh, Paramjeet Cary
Sanborn, Jane St. Clair, Samuel Raleigh
Sanders, Gregory Gullickson, Matthew Charlotte
Sanford, Frances Campos, Kevin Greensboro
Santiago, Sarah Knapp, Jon Greensboro
Satterfield, Sara Powell, Bayard Winston Salem
Sax, Linda Carreras, Jorge Sylva

July 21-23, 2010

Sax, Linda Wilson, Thomas Sylva
Schuette, Nora Bowman, Michael Raleigh
Schuette, Nora Tim, Richard Raleigh
Schuster, Rikki Lyons, Esther Nags Head
Scotece, Cecelia Howard, John Elizabeth City
Scott-Lavan, Dale Hines, Marcono Smithfield
Scott-Lavan, Dale Oak, Chang Plymouth
Scott-Lavan, Dale Venable, Robert Plymouth
Seal, James Young, Jordan Goldsboro
Rutherford
Sears, Mary Frances Betancourt, John College
Setzler, Heather Pickett, Lisa Durham
Shaffer, James Barnes, Daniel Pinehurst
Sharpe, Katherine Kuo, Paul Durham
Shaver, Robin Harmaty, Myron Gastonia
Shelton, Carla Kuo, Paul Durham
Sherburne, Emily Franco, Jorge Fayetteville
Sherron, Katherine Burnett, Tara Raleigh
Sherron, Katherine Henry, Christy Raleigh
Shinnick, Joseph Ruch, David Durham
Shipman, Jerry Jones, Colin Colerain
Shirlen, Andrew Chaudhry, Abdul Raleigh
Simon, Spencer Burnett, Tara Raleigh
Sims, Ginger Lue, Alvin Winston Salem
Smith, Delisa Bagley, Carlos Durham
Smith, Laurie Cargile, Leslie Black Mountain
Smith, Laurie Howard, Willard Rutherfordton
Smith, Ronald Griner, Eugene Burlington
Smith, Sandra Salahuddin, Abu Fayetteville
Srikantha, Venayagaratnam Gagliano, Louis Goldsboro
Stackhouse, Michael Dancel, Jose Fayetteville
Stanley, Glenn Charlton, Glenn Henderson
Stauffer, Christian Schmitz, Todd Charlotte
Steerman, James Campos, Kevin Greensboro
Steimle, Theresa Lewis, Marvin Spring Lake
Sterling, David Pence, James Morehead City
Sterling, David Riser, Mark Smithfield
Stindt, Diana Lawrence, Julia Winston Salem
Stindt, Diana Lesser, Glenn Winston Salem
Stindt, Diana Savage, Paul Winston Salem
Stoltzfus, Ryan Flanders, Paul Asheville
Sumner, Lori Kimball, Robert Statesville
Svedberg, Kelly Nami, Alireza Charlotte
Swansiger, David Jordan, Christopher Smithfield
Taylor, Allie Adams, Gregory Boone
Taylor, Brice Clancy, Thomas Wilmington
Thomas, Whitney Ferris, Andrew Concord
July 21-23, 2010
Thomas, Whitney Freidinger, Brad Concord
Thomas, Whitney Ward, Marc Concord
Thomas, William Ohl, Matthew Charlotte
Thompson, Amy Jobe, Robert Raleigh
Thompson, Joel Johnson, Marc Charlotte
Thompson, William Christopher, Frank Fort Bragg
Timmons, Nikol Rhodes, Marsha Charlotte
Torres-Frias, Rebecca Roth, Heidi Chapel Hill
Torres-Frias, Rebecca Vaughn, Bradley Chapel Hill
Triplett, Tammy Zackowski, Scott Greensboro
Trombley, Richard Spillmann, Celia Winston Salem
Trzcienski, Michael Krupski, Tracey Raleigh
Turrentine, Ennis Riedel, Richard Durham
Upah, Nicole Miekley, Scott Fayetteville
Upstill, Shari Jacubowitz, Sam Greensboro
Van Rhee, James Murinson, Donald Greensboro
Velazquez, Louis Gerlach, Stephan Roanoke Rapids
Venkat, Vidya Pershing, John La Crosse
Venkat, Vidya Tokunboh, Julius Charlotte
Vilmann, LeAnn Harmaty, Myron Charlotte
Vinson, Breony Blackstone, Thomas Wilmington
Vinson, Keri Sharts, Michael Greenville
Wagner, Shawn Pacos, Andrew Smithfield
Wallace, Todd Almasri, Ghiath Greenville
Walters, Thienkim Griesen, Dawn Hickory
Walton, Anna Kendall, Jayne Gastonia
Waltz, Nichole Bolin, Lewis Gastonia
Wangerin-Lile, David Ardaman, Miles Clyde
Ward, Blythe Wehbie, Charles Raleigh
Waters, Carrie Jones, Michelle Wilmington
Watkins, Mai Howard, Chad Charlotte
Watson, Steve Clark, Robert Cary
Weaver, Scott Talbot, David Greensboro
Webber, Sarah Kelley, Michael Charlotte
Weber, Jeffrey Hines, Marcono Smithfield
West, Elizabeth Riedel, Richard Durham
Whitaker, Ann Grossi, Peter Raleigh
Whitaker, Ann Haglund, Michael Raleigh
White, Hans Chodri, Tanvir Asheboro
Whitley, Ashley Burnett, Tara Raleigh
Whitley, Ashley Parnell, Jerome Raleigh
Whitley, Megan Harper, James Wilmington
Wiggins, Jeffrey Agner, David Albemarle
Wilkins, Bobbi Fletcher, Robert Raleigh
Williams, Denise Hall, Russell Fayetteville
Williams, Ginika Peace, Robin Lumberton

July 21-23, 2010

Williams, Glenn Dambeck, Allyn Goldsboro
Williams, Kevin Harmaty, Myron Charlotte
Williams, Mathew Knapp, Jon Greensboro
Williams, Rufus King-Thiele, Robin Goldsboro
Winkel, Scott Wefald, Franklin Smithfield
Winn, Jennifer Hunt, Jason Asheville
Winter, Monica Campos, Kevin Greensboro
Woods, Edward Brown, Frank Asheville
Wynn, Chileatha Partridge, James Burlington
Wynn, Kimberly Peace, Robin Lumberton
York, Marianne Taylor, Melissa Reidsville
Young, Danny Foster, James Charlotte
Young, Danny Gullickson, Matthew Charlotte
Young, Richard Kelley, Steven Clinton
Yu, I-Ling Tuttle, Harrison Raleigh
Zagon, Laura Cabral, Gonzalo Wilson
Zastudil, Amanda Ogunwo, Susannah Fayetteville

ALLIED HEALTH COMMITTEE REPORT

Present: Thomas Hill, MD, Chairperson, Peggy Robinson PA-C, George Saunders, MD, Lori
King, CPCS, Quanta Williams, Jane Paige, Marcus Jimison, Nancy Hemphill, Katharine Kovacs,
Audrey Tuttle

Open Session Physician Assistants

21 NCAC 32S.0219. Limited Physician Assistant License For Disasters and Emergencies

During the May 2010 Board Meeting, the Board heard comments from PAs at the PA Advisory
Committee and the Allied Health Committee about concerns they had that the rule regarding PA
licensure during a disaster would prevent a PA from being paid even if responding to the
disaster was a requirement of his or her employment. Originally, the Board drafted the attached
rule to prevent gouging and exploitation of patients during a disaster. However, the Board did
not intend PA responders to forego their usual compensation if responding to a disaster was
part of their employment. Marcus Jimison, Nancy Hemphill and the Committee discussed.

Board Action: Adopt proposed changes to Rule 21 NCAC 32S.0219.

21 NCAC 32S.0202. Qualifications and Requirements for License

Immigration Status – Addition to PA Licensure Rule. Nancy Hemphill, Marcus Jimison and the
Committee discussed.

July 21-23, 2010

Board Action: Adopt proposed addition to Rule 21 NCAC 32S.0202.

Open Session NC Emergency Medical Services

No items for discussion.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Committee reported on one cases. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

Open Session Anesthesiologist Assistants

Immigration Status Addition to 21 NCAC 32W.0102

Summary: Immigration Status – Addition to AA Licensure Rule. N. Hemphill and M. Jimison to

discuss.

Committee Recommendation: Approve proposed addition to Rule 21 NCAC 32W.0102

BOARD ACTION: Approve proposed addition to Rule 21 NCAC 32W.0102

Open Session Nurse Practitioners

No items for discussion

Open Session Clinical Pharmacist Practitioners

Protocol Approval Process

Summary: In May, the Board approved a new process for approving protocols. They decided to
wait until after the CPP Joint Subcommittee meeting on July 20 to implement the process.

Board Action: Accept the policy change and begin using the new procedure with applications
received on and after August 1, 2010. Mr. Jimison will draft a letter and send it to Dr. Loomis for
approval. The letter, which will explain the statutory scope for a CPP, that the CPP is
encouraged to keep his or her protocols current, and that practicing outside of the scope of the
CPP’s written agreement will subject the CPP to discipline, will be mailed out with CPP
approvals.

Open Session Perfusionists

July 21-23, 2010

Immigration Status Addition to 21 NCAC 32V.0103

Summary: Immigration Status Addition to Rule – Addition to Perfusionist Licensure Rule. N.

Hemphill and M. Jimison to discuss.

Committee Recommendation: Preemptive approval of proposed addition to Rule 21 NCAC

32V.0103. The PAC will review and discuss this at its August meeting.

BOARD ACTION: Preemptive approval of proposed addition to Rule 21 NCAC 32V.0103. The
PAC will review and discuss this at its August meeting.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Committee reported on one case. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

NURSE PRACTITIONER APPROVALS

ANESTHESIOLOGIST ASSISTANT, PERFUSIONIST & PROVISIONAL PERFUSIONIST
LICENSES ISSUED

MAY 14 – JULY 08, 2010

List of Initial NP Applicants

NAME PRIMARY SUPERVISOR PRACTICE CITY

AMBA,
CONCIA,KATHERYNE
CAROLYN KOPEC, ISABELLE
KLINE, THOMAS ST. LOUIS
WILSON
BAILEY, ANN
CONLIN, JEAN CLARK, MICHAEL
STEINWEG, KENNETH GREENSBORO
GREENVILLE
BLACK,
DOUGLAS,KAREN
TECONDA KRISHNAN, SENDIL
NTIMBA, FRANCIS GREENSBORO
ST. LOUIS
BREWER,
EVERETT, ALLISON
ARNETTE ABBOTT,
COLSON,THOMAS
LACY WINSTON
RALEIGH SALEM
CASEBOLT, KRISTA
HOPKINS, KRISTY CLAGNAZ, PETER
SEAGO, JUDITH AHOSKIE
SYLVA
GORDON, CATHERINE
HSU, BILLIE CHURCH, SAMUEL
SMITH, DOUGLAS HAYESVILLE
GASTONIA
HENDLEY, KEDRON
KUNKEL, JUDITH FOWLER, WILLIAM
ROUGEOU, GLENDON MARION
MURPHY
HUFFMAN,
LAMBERTUS, DIEDRA
VIKI ALBRITTON, MARK
LANGSTON, BERNARD MARION
SHALLOTTE
JOHNSON, JANE
LOVINGS, TINA ROBERTSON, JOHN
RAYMOND, LAWRENCE NEW BERN
GASTONIA
LEONARD,
MCDANIEL,KELLI
CATHERINE FERNANDEZ, GONZALO
CRUTCHER, KENNETH GARNER
COLLETTSVILLE
PARKER, MARY
PETRUNEY, JENNIE MCQUISTON, CHRISTINA
DAALEMAN, TIMOTHY ASHEVILLE
CHAPEL HILL
PATEL, SWATIBEN
SULLIVAN, PATRICIA GAMMON,
WHEELER,GARY
ANTHONY GASTONIA
CHARLOTTE
PRATHER, CHRISTIN
TAVAZIVA, PATRICIA NTIMBA, FRANCIS
CHITTENDEN, TAMARA ST. LOUIS
CHARLOTTE
TERRELL, KYLE VEERAMACHANENI, NIRMAL CHAPEL HILL
July 21-23, 2010
WHALEY, BRIAN PRICE, WAYNE CHAPEL HILL
ZEKONIS, DONNA ELBEERY, JOSEPH GREENVILLE
SANDERS, TARA RUSSELL, MICHAEL RALEIGH
SMITH, KIM BLAND, VEITA GREENSBORO
TATE, STACIA MCLANAHAN, CHARLES CHARLOTTE
WALL, DEBORAH BENTSEN, BIRGER WILMINGTON
WILLIAMS, TRACY ANDERSON, JOSEPH ASHEVILLE
WILLIS, SHADERIKA HALL, ANDRE FAYETTEVILLE
EARHART, MEGAN STEFFENS, THOMAS CONCORD
HASKINS, LORI MONAHAN, MICHAEL RALEIGH
HOUSE, KAREN HOWARD, KEVIN WENTWORTH
HULME, ARUNA HANSEN, KIMBERLEY WINSTON-SALEM
JONES, COURTNEY JORDAN, JOSEPH CHAPEL HILL
KEATING, CAROLYN NICHOLS, JOHN ASHEVILLE
KELL, TIMOTHY KOPEC, ISABELLE ST. LOUIS
MCCABE, ASHLEY ELBEERY, JOSEPH GREENVILLE
PATTON, RONDA HEDGEPATH, LARRY FOREST CITY
PORTER, EVELYN MINTZER, MELANIE CARY
PRICE, RENEA OAK, CHANG PLYMOUTH
RAULS, AMANDA GROSSI, PETER RALEIGH
YOUNGER, ALICIA RUSSELL, LARRY HENDERSONVILLE

NP ADDITIONAL SUPERVISOR LIST

BENBOW, DEBRA JONES, EDWARD WINSTON SALEM

BOYKIN, WILLIAM BAULE, RAYMOND ROCKY MOUNT
CLINE, KIMBERLY MYLES, SIDNEY HICKORY
CONDON, CHRISTINA ANDY, CAMILLE KERNERSVILLE
COUSINS, MELISSA ANDY, CAMILLE GREENSBORO
DAY, TERESA MCCALL, WILLIAM WINSTON-SALEM
DESAI, SHAKTI TYSON, TREVA RALEIGH
DOYLE, MELISSA PHILLIPS, THIRSTON FAYETTEVILLE
EASTERWOOD, LAURA KRISHNAN, SENDIL GREENSBORO
FERREE, BETTE ANDY, CAMILLE KERNERSVILLE
GANT, APRIL UBA, DANIEL FAYETTEVILLE
GRAHAM, JAMIE KIGER, TARA NEW BERN
HARRIS-COLEMAN, JUDITH MUNOZ, RIGARDY HICKORY
HAVEN, SHERRI MACDIARMID, SCOTT GREENSBORO
HILL, DORIS VORWALD, FREDERICK MOOREVILLE
HOULIHAN, SANDRA SHA, RONALD DURHAM
HOWARD, DENISE GARMON-BROWN, OPHELIA CHARLOTTE
HUTTO, CHRISTINE WILKINSON, JAMES KITTY HAWK
JEFFERY, JANIS MORGENSTERN, EVA ASHEVILLE
JNAH, AMY PRICE, WAYNE CHAPEL HILL
JOHN, WENDELL KATHARD, HARESH LOUISBURG
JORDAN, KATHLEEN MATKINS, PREETI CHARLOTTE
KEIGER, JENNIFER MURPHY, MARTIN WINSTON-SALEM
LAU, KAREN SWYGARD, HEIDI CHAPEL HILL
July 21-23, 2010
LEWIS, CHERYL DAVIS, ALONZO MOREHEAD CITY
LUMSDEN, LO KEMP, PETER ENDENTON
LYALL, MONICA BYRD, TERRI WILSON
MCCLAIN, DAMARIS TRIPP, HENRY KERNERSVILLE
MCCLURE, CHRISTINE BURISHKIN, DANIEL ASHEVILLE
MCCULLEN, GINGER HERRING, RUFUS CLINTON
METIKO, ESTHER SWYGARD, HEIDI RALEIGH
MEYER, DIANE GONZALEZ, ANNE HICKORY
MITCHELL, SUSAN ANDY, CAMILLE CLEMMONS
MORRIS, DIANN ANDY, CAMILLE KERNERSVILLE
MORRIS, DIANN JONES, ENRICO GREENSBORO
NAYLOR, TRACY RAY, JOHN FAYETTEVILLE
PAWLAK, COLLEEN NACOUZI, VINCENT RALEIGH
PERKINS, JUANITA GIBBS, CAROL DURHAM
PROPST, DAVID COCHRANE, JOSHUA HICKORY
QUILTY, EILEEN ALEJANDRO, LUIS GREENSBORO
RAGAN, MICHAEL OSTA, ELIE SNOW HILL
ROSEBROCK, KELLEY BARRON, ANGELA MONROE
ROUNTREE, JANE BALLARD, WILLIAM DOBSON
SNYDER, STEVEN BREZINSKI, DAMIAN WILMINGTON
SOLOMON, LORA NEULANDER, MATTHEW CHARLOTTE
SPURBECK, BRENDA BYRD, TERRI WILSON
STEVENS, VERONICA SESSOMS, RODNEY CLINTON
STUBBS, CARLA BLEVINS, MARY ASHEVILLE
THACKER, JANET IRION, JAMES CLEMMONS
TOLLEY, MARGARET VAN DEUSEN, LINDA BRYSON CITY
VACHON, LEONIE NIEMEYER, MEINDERT ELON
VERNON, ANN ANDY, CAMILLE OAK RIDGE
VOGRINC, ASHLEY ANDY, CAMILLE OAK RIDGE
WATSON, JULIA ALAHARI, DURGA FUQUAY VARINA
ADLER, DEBORAH CARLOUGH, MARTHA CHAPEL HILL
ALEXANDER, TAMARA ESCAJEDA, RICHARD ARCHDALE
AMOAKO, EMELIA OSEI-BONSU, GEORGE HIGH POINT
ASKEW-JACKSON, TERI WRIGHT, JOSEPH KINSTON
BLEVINS, RONDA TURNER, LINDA SPARTA
BLEVINS SPRINKLE, JULIE TURNER, LINDA SPARTA
BROPHY, NOREEN VARGAS, CARLOS ASHEVILLE
BROWN, CAROL AGUNOBI, CHARLES GASTONIA
BRUCE, ELIZABETH BLUE, DEBRA RALEIGH
CARPENTER, LALISA WINKER, GUYTON SPINDALE
CARTER, ANGELA CATAPANO, GERARD FAYETTEVILLE
CAVILEER, DENISE PRIDGEN, JAMES WHITEVILLE
CHILTON, LINDA TWERSKY, JACK DURHAM
CLARKE, SUSAN DAVIS, ALONZO MOREHEAD CITY
CRATER, SUZANNE MCQUISTON, CHRISTINA ASHEVILLE
CRAWFORD, KARI HERLONG, JAMES CHARLOTTE

July 21-23, 2010

CRAWFORD, KARI PEELER, BENJAMIN CHARLOTTE
CUDDY, SHERRI WALKER, CHERYL CHARLOTTE
CURRY, ROSEMARY HEALY, PAUL HAVELOCK
DANIELS, MELISSA FISHER, DAVID CHARLOTTE
DANIELS, JULIE MOYA, FERNANDO WILMINGTON
DAVIS, DONNA HANSEN, ROGER WINSTON SALEM
DAVIS, AMANDA ANDERSEN, SUSAN WILSON
DRIGGERS, MILDRED DAVIS, ELLEN GASTONIA
DUPUIS, MONICA JOHNSON, DAVID RALEIGH
EMMERT, KATY WALTER, KAREN ASHEVILLE
FERNANDEZ, ANA-MARIA RAYNOR, EILEEN DURHAM
GANNOTTA, RICHARD HODGES, CHARLES RALEIGH
GAUGER, SARAH LIEN, LILLIAN DURHAM
GAULDEN, LAURA CHARLESWORTH, AMY BEAUFORT
GETTELFINGER, JOAN GAMBINO, JOHN WINSTON-SALEM
GORECKI, AMANDA MILLER, JASON DURHAM
GRAHAM, KIMBERLY CHEN, HSIUPEI RALEIGH
HAAS, MARILYN VARGAS, CARLOS ASHEVILLE
HARDY, KIMBERLY BRINN, NATHAN GREENVILLE
HARRISON, DAWN OH, PAUL BURLINGTON
HENDERSON, CHERYL DAUD, SHAHNAZ CARY
HOBAN, CAROL TRIMBLE, STEWART ROSMAN
HOUGH, JENNIFER CHEN, HSIUPEI RALEIGH
HUGHES, JANET SMITH, LARRY SHELBY
ISAACS, JANE KOCH, KENNETH WINSTON-SALEM
JONES, ELLEN JORGE, CARLOS CORNELIUS
JORDAN, LINDA KINDSCHUH, PETER WHITEVILLE
KILLGORE, JOHN GERLACH, STEPHAN ROANOKE RAPIDS
KOONTS, HEATHER KROWCHUK, DANIEL WINSTON SALEM
LEE, TRACEY BLAKNEY, SANDRA CARY
LIEM, GRACE RUPE, CAROL CHARLOTTE
LOHSE, ELIZABETH CASERIO, JAMES HENDERSONVILLE
MARTIN, TERESA JOHANSON, WILLIAM MORGANTON
MONTGOMERY, SONYA GUALTIERI, CAMILLO CHAPEL HILL
MORTON, REBECCA HALSTENBERG, WILLIAM CONCORD
OXFORD, WILLIAM ROGERS, GARRETT GOLDSBORO
PAQUIN, VICTOR SLADICKA, STEPHEN TAYLORSVILLE
PAWLAK, COLLEEN KANN, JOEL RALEIGH
PENNELL, TODD DUBOW, RONALD LENOIR
PINTO, ALICIA BLUE, DEBRA RALEIGH
RAVENSCRAFT, AMY MILLSAPS, DAVID HICKORY
REILLY, JOYCE GILPIN, ALLEN ASHEVILLE
REPEDE, ELIZABETH GARMON-BROWN, OPHELIA CHARLOTTE
REVELS, TIFFANY GUHA, SUBRATA RALEIGH
RICHARDSON, STACY SHAW, ANDREW SPARTA
ROCK, ELLA NEDEROSTEK, DOUGLAS LAURINBURG

July 21-23, 2010

ROWE, VEDA PETERSON, ERIC NEBO
SHARPE, DAPHNE HUNT, MARY GREENSBORO
SHORT, JOAN JORGE, CARLOS CORNELIUS
SHUFORD, RICHELLE DUBOW, RONALD LENOIR
SINGER, MEREDITH BRADLEY, DIANA ASHEVILLE
SKAKEY, JOSETTE GREENBERG, RICHARD HUNTERSVILLE
SMITH, JOYCE HAVERKAMP, JOHN GOLDSBORO
SMITH, ALEXIS ALMASRI, GHIATH GREENVILLE
STEVENS, MARK CHARLESWORTH, AMY BEAUFORT
TASHAKKORI, ZAHRA KISHBAUGH, DAVID FAYETTEVILLE
TERRY, JEVITA WILSON, THEODORE ROCKY MOUNT
THOMPSON, ELIZABETH RODRIGUEZ, FABIAN SOUTHERN PINES
THOMPSON, SHANNON YOUNG, STEPHEN WILMINGTON
TIGNER, JENNIFER IGHADE, ANDREW CHARLOTTE
VACHON, LEONIE BHATTI, MOHAMMAD ELON
VAUGHAN, ANITA NEULANDER, MATTHEW CHARLOTTE
VIVIANO, ROBIN MINTZER, MELANIE CARY
WINTERS, ADAM MORELOCK, SANDRA ASHEVILLE
WOOD, BROOKIE CHEN, HSIUPEI RALEIGH
WORRELL, TAMMY ZANARD, ROBYN GREENSBORO
ANTHONY, ARENNETTE SANDERS, ROBYN GREENSBORO
AUTRY, JEFFREY KRULL, RONALD CLINTON
BARNES, MARTHA DYE, HILARY WINSTON-SALEM
BROCK, WENDY GALLAHER, KEITH FAYETTEVILLE
BYRD, SARAH MCDANIELS, CHRISTOPHER RALEIGH
CALLAHAN, ANGELA LACEY, DAVID WINSTON-SALEM
CARR, CARLYE MORROW, JASON DURHAM
COOK, LADONNA WALKER, ORRIN CHINA GROVE
CUNNINGHAM, PATRICIA MURRAY, MICHAEL ASHEVILLE
EDINGER, AMY HENDLER, JAY CHARLOTTE
FOSTER, JENNIFER HAMP, DIRK WAKE FOREST
GREENE, NATASHA BLAKNEY, SANDRA MEMPHIS
GREGORY, DEBORAH JOHNSON, JAMES ASHEVILLE
HARDEE, CAMERON DESSAUER, KATI CARY
HENRICKSON, STACY SCHMIDT, BRIAN CONCORD
HERRERA, ALIDA LAWRENCE, MARK WAYNESVILLE
HOUGH, JENNIFER GULLEY, PAUL ELKIN
HOUGH, JENNIFER CANUPP, TONY ELKIN
HOWARD, SANDY HOLMES, MATTHEW SYLVA
JAWORSKI, ANN WRIGHT, BRENT WILMINGTON
KING, ROBIN LAWRENCE, MARK WAYNESVILLE
KOSKO, DEBRA INGRAM, CHRISTOPHER RALEIGH
LAY III, HARRY REARDON, DAVID DURHAM
MARTIN, KATHY MCMAHON, DANIEL CHARLOTTE
MORAN, KELLY GASTON, KRIS CHARLOTTE
NOONE, ANGELA STEGMAN, JOSEPH CONCORD

July 21-23, 2010

 POTTER, ANN DYE, HILARY WINSTON-SALEM
REVELS, TIFFANY MINIOR, DANIEL DUNN
ROBINSON, MELISSA DY, MARC MIDLAND
SCHNEIDER, KAREN ALEJANDRO, LUIS GREENSBORO
SPELL, SUSAN GUHA, SUBRATA WILSON
TOLBERT, APRIL GUPTA, MANOJ SMITHFIELD
WARREN, LENA KRULL, RONALD CLINTON
WHISNANT ROPER,
REGINA DOWNS, BRIAN MORGANTON

PERFUSIONISTS

BENNETT, Mia Eugenia, LP

KLIMA, Alan William, LP

ALEXANDER, Stanlin, PLP

SANIUK, Rachel, PLP
SCOTT, Chelsea Lee, PLP

ANESTHESIOLOGIST ASSISTANTS

BARNETT, Kari Chappell, AA-C

CLINICAL PHARMACIST PRACTITIONER JOINT SUBCOMMITTEE

Members Present: Ralph Loomis, MD (NCMB); George Saunders, MD (NCMB); Donald

Jablonski, MD (NCMB); Thomas Hill, MD (NCMB); Rebecca Chater (NCBOP); Joey
McLaughlin (NCBOP); and Gene Minton (NCBOP)

Absent Members: Betty Dennis, CPP (NCBOP)

Staff Present: Jay Campbell, David Henderson, Marcus Jimison, and Quanta Williams

Welcome and Introductions

Dr. Loomis opened the meeting with introductions and thanked everyone for coming.

Election of Chair

Dr. Loomis asked for motions for a new chair. Since there were none, Dr. Loomis will continue
on as Chair of the Committee.

Approval of Minutes

A motion passed to accept the minutes of the October 2007 meeting.

Protocol Approval Process

Dr. Hill gave a brief summary of the appearance of and types of protocols that have been
received since 2001 when CPP approval began. He also discussed the current process for
approving CPP protocols and the logic behind changing the approval process. The Board no
July 21-23, 2010
longer reviews the protocols for PAs and NPs. This seems to be a natural evolution for the
CPPs as well.

CPP applicants will no longer be required to submit the written agreements between themselves
and their supervising physicians (or protocols) with their applications for review and approval by
the two boards. If an application is approved, a letter will be sent out to each CPP that will
explain the statutory scope of practice for a CPP, that the CPP is encouraged to keep his or her
protocols current, and that practicing outside of the scope of the CPP’s written agreement will
subject the CPP to discipline. CPPs will no longer have to submit Change of Status forms
requesting additional protocols.

There will be a compliance program similar to the one used by the Nurse Practitioner Joint
Subcommittee for compliance reviews of CPP protocols. An investigator from each Board will
work together to conduct compliance reviews of about 5 CPPs per year.

MAD-ID Certification Program

This program is not approved by the North Carolina Center for Pharmaceutical Care (NCCPC)
or the American Council on Pharmaceutical Education (ACPE). Therefore, it does not meet the
requirements stated in the rules for CPP approval. This information will be communicated to the
pharmacist that inquired about this program. The pharmacist may direct her inquiry to the two
credentialing bodies for information about the process by which a program may be approved by
the credentialing body.

Future Meetings

A motion passed that all future agendas be dictated by Dr. Loomis and that Mr. Henderson and
Mr. Campbell will let the Chair know when sufficient need arises for a meeting.

Miscellaneous

Dr. Saunders thanked the Board of Pharmacy for its spirit of collegial cooperation with the
Medical Board.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Committee reported on one case. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

REVIEW (COMPLAINT) COMMITTEE REPORT

Peggy Robinson, Chair; Thelma Lennon; George L. Saunders, III, MD

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
July 21-23, 2010
 The Review (Complaint) Committee reported on forty two complaint cases. A written report
was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public.

A motion passed to return to open session.

DISCIPLINARY (COMPLAINTS) COMMITTEE REPORT

William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen
R. Gerancher, MD; Ralph C. Loomis, MD.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Disciplinary (Complaints) Committee reported on ten complaint cases. A written report
was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public.

A motion passed to return to open session.

DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT

William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen
R. Gerancher, MD; Ralph C. Loomis, MD.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Disciplinary (Malpractice) Committee reported on 57 cases. A written report was

presented for the Board’s review. The Board adopted the Committee’s recommendation to
approve the written report. The specifics of this report are not included because these
actions are not public information.

A motion passed to return to open session.

July 21-23, 2010

INFORMAL INTERVIEW REPORT

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

Thirteen informal interviews were conducted. A written report was presented for the Board’s
review. The Board adopted the recommendations and approved the written report. The
specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT

William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen
R. Gerancher, MD; Ralph C. Loomis, MD.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Disciplinary (Investigative) Committee reported on 35 investigative cases. A written

report was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public information.

A motion passed to return to open session.

REVIEW (INVESTIGATIVE) COMMITTEE REPORT

Peggy Robinson, Chair; Thelma Lennon; George L. Saunders, III, MD

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Review (Investigative) Committee reported on 37 investigative cases. A written report

was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public information.

A motion passed to return to open session.

NORTH CAROLINA PHYSICIANS HEALTH PROGRAM (NCPHP) COMMITTEE REPORT

July 21-23, 2010

Thelma Lennon, Chair; Janice Huff, MD; Karen R. Gerancher, MD

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.

The Board reviewed 57 cases involving participants in the NC Physicians Health

Program. The Board adopted the committee’s recommendation to approve the written
report. The specifics of this report are not included as these actions are not public
information.

A motion passed to return to open session.

HEARINGS – July 23, 2010

REECE, Donald, MD – Morehead City, NC

Disciplinary

Dr. Reece was charged with unprofessional conduct for allegedly practicing below the
standard of care with regard to his treatment of eight patients, lack of professional
competence to practice medicine with a reasonable degree of skill and safety based on
a comprehensive evaluation by CPEP, and failing to provide adequate coverage for his
patients at times when he planned to be unavailable.

A Panel Hearing was held on April 15, 2010.

Members of the Panel were: Dr. Jablonski, Dr. Camnitz and Ms. Blizzard. Thomas
Moffitt served as Independent Counsel.

Dr. Reece was represented by Daniel Flebotte during the Hearing.

The Board was represented by Todd Brosius during the Hearing.

PANEL FINDINGS: The Panel found that Dr. Reece’s care of patients A through H
departed from or failed to conform to the standards of acceptable and prevailing medical
practice within the meaning of NC Gen. Stat. § 90-14(a)(6). The Panel also found that
Dr. Reece’s lack of medical knowledge and clinical reasoning constituted a lack of
professional competence to practice medicine with a reasonable degree of skill and
safety to patients and failure to maintain acceptable standards of one or more areas of
professional physician practice with the meaning of NC Gen. Stat. § 90-14(a)(11).
Additionally, the Panel found that by failing to provide adequate coverage for his patients
in times that he planned to be unavailable, Dr. Reece engaged in unprofessional conduct
within the meaning of NC Gen. Stat. § 90-14(a)(6).

PANEL RECOMMENDATION: The Panel recommended that Dr. Reece’s medical

license be revoked.

A Motion by the Respondent to reopen the case to allow further evidence was heard on
July 22, 2010, by Dr. Jablonski and Ms. Blizzard.

The Motion was denied.

July 21-23, 2010
 Final Arguments before a Quorum of the Board were heard on July 23, 2010.

Members of the Quorum were: Dr. Huff, Dr. Saunders, Dr. Loomis, Dr. Walker, Dr. Hill,
Ms. Lennon, Dr. Gerancher, Judge Lewis, and Ms. Robinson.

Dr. Reece was represented by K. Edward Greene and Tobias Hampson.

The Board was represented by Todd Brosius.

BOARD ACTION: To allow 30 days for Dr. Reece to close his practice, his medical
license will be indefinitely suspended effective August 26, 2010. Dr. Reece may not
reapply for a medical license for one year.

ADJOURNMENT
This meeting was adjourned at 1:00 p.m., July 23, 2010.

_____________________________________________________
William A. Walker, MD
Secretary/Treasurer

July 21-23, 2010