THE COLORADO STATE BOARD OF MEDICAL EXAMINERS LICENSING PANEL MINUTES OPEN MEETING May 22, 2009 8:35 a.m. Licensing Panel of the Colorado State Board of Medical Examiners met Friday, May 22, 2009, in the o?ices of the Board of Medical Examiners, 1560 Broadway, Conference Room 1300, Denver, Colorado beginning at 8:35 am. The meeting was noticed in accordance with Division policy. Present were Dr. Butler, Dr. Calonge, Mr. Jennings, Dr. Overholt (arrived 8:37 Ms. Radcli?' and Dr. Watts. Dr. Watts conducted the meeting. Also in attendance for all or part of the meeting were Cheryl Hara, Program Director; Monica Brion, Enforcement Case Manager; Jan Seewald, Licensing Specialist; June Nieto, Complaints Specialist; Maria Soto, Program Assistant; Lisa Jackson, Expedited Settlement O?ice; Vivienne Belmont, O?ice of Policy, Research and Regulatory Reform; and Assistant Attorney General Sue Kim. MINUTES The Licensing Panel minutes of the April 16, 2009, meeting were approved as amended. Physicians - Administrativer Approved A motion was made, seconded and carried to approve the physician applicants listed below for licensure: Adair, Margaret Ann Alkousakis, Theodore James Anderson, Jason Garth Balestrieri, Philip Joseph Banks, Mindy Ann Beach, Rachel Bowes Betz, Marian Elizabeth Bielsky, Alan Robert Blom, Paul Henry Brooks, Gabriel A. Bruce, Kristine Jessica Busch, Jillian Leigh Caccavale, Albert George Cambray, Adam Joseph Cambray, Rachel Ann Camp, Brenda Lee Chang, Heidi Tswun-May Chillura, Anthony Buddy Clark, Clifford Dana Conlon, Sarah Jean Conti, Paul Anthony Coons, Benjamin John D'Ambrosia, Renee A. DeBoer, Emily Mae Dickerson, Gregg Alan Dickinson, Robin Elizabeth Doebler, William Clayton Domson, Charles Leo, II Duwe, Kevin Michael Dymek, Maksym Stefan Erlandson, Michael David Feliciano, Melvyn Anthony Fintak, David Robert Fitzgerald, Ashley Ann Fang, Philip Holt-Chi Girdler, Benjamin Jacob Graf, Amanda Elizabeth Greene, Amanda Elizabeth Gunville, Cameron Frederick Hildreth, Kerry Homer, Ronald Jay Homer, Suzanne Yoon Hosier, Gregory Allen Hoyte, Flavia Cecilia Lega Hudson, Timothy Ryan Jensen, Kurt Warren Kanze, David Mitchell Kanze, Kylie Ann Keate, Tyler Lloyd Klein, Michael Vincent Kohlmeier, Ruth Elizabeth LaCount, Rachel Anne Lann, Meredith A. Leman, Juliet Elizabeth Lewis, Matthew Charles Loeb, Danielle Frances Lowdermilk, Elizabeth Lyons Duncan Maloney, Karen Elizabeth Marokus, Asa Kai Marshall, Carrie Beth Marshall, Lee Thomas Meeuwsen, Michael Anson Morrison, Jennifer Anne Morrow, Jay Toby Moss, Roy Laurence Munson, Anna-Lisa Nag, Aditi Newton, Douglas Andrew Nyberg, Eric Mackenzie O'Brien, Jennifer Anne O'Dowd, Teresa Kay Oliva, Elishia Mone Lintz Phancao Phai, Jean-Pierre Price, Katherine Ann Ratnam, Krishna Krupa Ree, Alexander Riley, Elizabeth Mary Riutort, Kevin Thomas Rufner, Kevin Michael Schoelch, Barry Alan Schroeder, Emily Bartlett Scroggins, Daniel James Shaffer, William Richard Shanahan, Alexis Eve Siffring, David Carl Stepan, Caleb James Stout Paterson, Courtney Sutter, Kari Talley, Brad Edwin Tham, Edward Thomas Torres, Mary Ellen Vibhakar, Rajeev Wachtl, Zachary Charles Wagar, David Antony Walker, Cheryl Ann Weger, Natalie So?a Weinstein, Elena Weisz, Keith Michael Whiteside, John William, 11 Wall, Michael Murphy Yoder, Jeffrey Allen LNSING PANEL OPEN May 22, 2009 Page 2 Ph?ician Assistant Applicants - Administrativelx Approved A motion was made, seconded and carried to approve the physician assistant applicants listed below for licensure: Aminova, Emiliya Moore, John Robert Fuller, Anne Elizabeth Morrow, Rachel May Johnson, Lorena Moyle, Elizabeth Wood Tempom Olmpic Phypician Applicant - Administratively Approved After review of the application and ?le, a motion was made, seconded and carried to approve the applicants listed below for temporary licensure: Eric Anish, M.D. Andrew L. Chen, M.D. Ralph Franks, Jr., M.D. Physician Applicants - With One Civil Malpractice Case Administratively Approved A motion was made, seconded and carried to approve the physician applicants listed below for licensure: Woosik M. Chung, M.D. Daniel B. Jamieson, M.D. Laurie S. Fisher, M.D. Shyam M. Parkhie, M.D. Daniel R. Hamman, M.D. James R. Poliquin, M.D. Michele L. Hines, M.D. Alan J. Weinstein, M.D. IMG Applicants Board Certi?ed - Administratively Approved A motion was made, seconded and carried to grant the physician applicants listed below a Colorado medical license pursuant to Section 12-36- 107.6, C.R.S.: Aiad Alsakaf, M.D. Kenneth Michael Nalabo?', M.D. Asii' Anwar, M.D. Andrew C. Sedillo, M.D. Elizabeth Bhargava, M.D. Zulfiqar Ali Shah, M.D. Anna Kujawska, M.D. Markus Wettstein, M.D. Abdul Mateen, M.D. EXECUTIVE SESSION At 8:38 a motion was made, seconded and carried unanimously to enter into executive session pursuant to Section C.R.S., to discuss matters which, by law, are con?dential and constitute con?dential attorney-client privileged information pursuant to Section C.R.S., regarding the application to reinstate the license of Elizabeth Haskins, and the applications for licensure of Andrea Zatlin, M.D., Gillian E. Johnson, M.D., and Minta M. Mathew, and to discuss discuss matters which, by law, are con?dential and constitute individual health information, medical, mental health, and scholastic achievement data, and letters of reference, which are con?dential under Section and and C.R.S., and state and federal law, regarding the applications for licensure of Andrea Zatlin, M.D., Kerry Lee Hayhew, Richard Williams, M.D., Vinson DiSanto, D.O., Gillian Johnson, M.D., Hasmet Uner, M.D., and Zahid Virk, M.D. After discussion, at 9:08 the Panel left executive session and returned to open session to act on these cases, below. Physician Training Applicants -- Requiring Board Review Matthew James Moles, M.D. After review of the application and additional information, a motion was made, seconded and carried to table this matter pending further information. I ENSING PANEL OPEN May 22, 2009 Page 3 Andrea Zatlin, M.D. Dr. Zatlin and Thomas K. Henthorn, M.D., were present at the meeting and addressed the Panel. After review of the application and ?le, a motion was made, seconded and carried to approve Dr. Zatlin?s application for training licensure. Special Physician Assistant Applicants - Requiring Board Review Elizabeth Haskins, PA-C Ms. Haskins was present at the meeting and addressed the Panel. After review of the application and additional information, a motion was made, seconded and carried to refer this for drafting of a Stipulation and Final Agency Order. Kerry Lee Mayhew, PA-C After review of the application and ?le, a motion was made, seconded and carried to table this matter pending further information. Special Physician Assistant Applicant Tabled -- Requiring Board Review Julia E. Lersch, PA-C After review of the ?le and a proposed Licensing Agreement and Final Agency Order, a motion was made, seconded and carried to approve the Agreement as drafted. Special Physician Applicants Requiring Board Review Sheryl Chentay Belanger, M.D. After review of the application and additional information, a motion was made, seconded and carried to grant Dr. Belanger a Colorado medical license. Barbara Elisabeth Cohen, MD. After review of the application and additional information, a motion was made, seconded and carried to conditionally approve licensure contingent upon Dr. Cohen?s satisfactory submission of additional information. Ms. Hara was given authority to review the information and approve the license. Glen A. Halvorson, M.D. After review of the application and additional information, a motion was made, seconded and carried to grant Dr. Halvorson a Colorado medical license. Julian R. Gershon, D.O. After review of the application and file, a motion was made, seconded and carried to deny Dr. Gershon?s application for a Colorado medical license. John C. Holland, M.D. After review of the application and additional information, a motion was made, seconded and carried to grant Dr. Holland a Colorado medical license. Jay A. Riseman, M.D. After review of the application and ?le, a motion was made, seconded and carried to deny Dr. Riseman?s application for a Colorado medical license. Richard M. Williams, M.D. After review of the application and additional information, a motion was made, seconded and carried to table this matter pending further information. ENSING PANEL OPEN May 22, 2009 Page 4 Special Physician Applicants - Tabled - Reguiring Board Review Vinson M. DiSanto, D.0. After review of application and ?le, a motion was made, seconded and carried to deny Dr. DiSanto?s application for a medical license or, alternatively, to authorize him to withdraw his application. Erlan C. Duns, M.D. After review of the application and ?le, a motion was made, seconded and carried to deny Dr. Duus?s application for a Colorado medical license. Derik K. King, M.D. After review of the application ?le, a motion was made, seconded and carried to approve Dr. King?s request to withdraw his application. IMG Applicants Not Board Certified - Requiring Board Review After review of the application ?les, a motion was made, seconded and carried to grant a Colorado medical license to the following applicants: Evelyn E. Assor, M.D. Dayanand N. Bagdure, M.D. Mina B. Pantcheva, M.D. Special IMG Applicants - Requiring Board Review Gillian E. Johnson, M.D. Dr. Johnson was present at the meeting and addressed the Panel. After review of the application ?le and additional information, a motion was made, seconded and carried to grant Dr. Johnson a Colorado medical license. Minta M. Mathew, M.D. Dr. Mathew and her counsel, Linda Siderius, Esq., were present at the meeting and addressed the Panel. After review of the application ?le and all relevant circumstances, a motion was made, seconded and carried to grant Dr. Mathew a Colorado medical license under Policy 20- 5. Dr. Calonge opposed the motion. Chandrakant C. Patel, M.D. After review of the application ?le, a motion was made, seconded and carried to grant Dr. Patel a Colorado medical license. Hasmet Uner, M.D. Dr. Calonge recused himself from participation in this case and departed the meeting room. Dr. Under was present at the meeting and addressed the Panel. After review of the application ?le, a motion was made, seconded and carried to grant Dr. Uner a Colorado medical license. Zahid Q. Virk, M.D. After review of the application ?le, a motion was made, seconded and carried to grant Dr. Virk a Colorado medical license. PANEL OPEN MEETIN May 22, 2009 Page 5 Distinguished Foreign Teaching Applicant Renewal - Requiring Board Review Bennie Lindeque, M.D. After review of the application and ?le, a motion was made, seconded and carried to approve a distinguished foreign teaching license for Dr. Lindeque. MISCELLANEOUS Carrie Austin, MD. A motion was made, seconded and carried to approve Dr. Austin?s nominee for practice monitor. Robert Pensack, M.D. After review of Dr. Pensack?s request and the ?le, a motion was made, seconded and carried to deny Dr. Pensack?s request to modify the Second Stipulation and Final Agency Order. John P. Ryan, MD. After review of the application and additional information, a motion was made, seconded and carried to table this matter until July 2009 and conditionally refer the matter in the Inquiry Panel. ADJOURNMENT There being no further business, the meeting was adjourned at 10:20 am. These Minutes were approved by the Panel on this I day of June, 2009. THE COLORADO STAT ANEL OF MEDICAL EXAMINERS LIC SING PANEL if Wk 0. Watts, M.D. a, Chair THE COLORADO STATE 13 -ARD OF MEDICAL EXAMINERL LICENSING PANEL MINUTES OPEN MEETING July 16, 2009 8:35 a.m. Licensing Panel of the Colorado State Board of Medical Examiners met Thursday, July 16, 2009, in the of?ces of the Board of Medical Examiners, 1560 Broadway, Conference Room 1300, Denver, Colorado beginning at 8:35 a.m. The meeting was noticed in accordance with Division policy. Present were Dr. Allen-Davis, Dr. Butler, Mr. Jennings, Dr. Overholt, Ms. Radcliff, and Dr. Watts. Dr. Watts conducted the meeting. Also in attendance for all or part of the meeting were Cheryl Hara, Program Director; Susan Taylor, Enforcement Program Manager; Monica Brion, Enforcement Case Manager; Jan Seewald, Licensing Specialist; Maria Soto, Program Assistant; Lorraine Lucero, Complaint Enforcement Specialist, Lisa Jackson, Expedited Settlement Of?ce; Assistant Attorney General Sue Kim; and Susan Miller, Director of the Healthcare Unit. MINUTES The Licensing Panel minutes of the June 18, 2009, meeting were approved as amended. EXECUTIVE SESSION At 8:37 a motion was made, seconded and carried unanimously to enter into executive session pursuant to Section C.R.S., to discuss matters which, by law, are con?dential and constitute con?dential attorney-client privileged information pursuant to Section C.R.S., and to discuss matters which, by law, are con?dential and constitute con?dential individual health information under state and federal law regarding the applications for licensure of Alexander Thermos, M.D., and Kerry Lee Mayhew, PA-C, and the application to reinstate the license of Tiffany A. Serell, PA-C. After discussion, at 8:47 the Panel left executive session and returned to open session to act on these cases, below. Special Physician Applicants - Tabled - Requiring Board Review Abbe Dov Mendlowitz, M.D. After review Of the application ?le, a motion was made, seconded and carried to grant Dr. Mendlowitz a Colorado medical license. Thomas Theodore Mydler, M.D. After review Of the application and additional information, a motion was made, seconded and carried to refer this matter for drafting of a Licensing Agreement. Special Physician Applicants - Denied - Requiring Board Review Vinson M. DiSantO, D.0. After review of the application ?le, a motion was made, seconded and carried to grant Dr. DiSantO a Colorado medical license. IN SING PANEL OPEN MEETINF July 16, 2009 Page 2 Jay Alan Riseman, M.D. After review of the application ?le and additional information, a motion was made, seconded and carried to reaf?rm the denial of licensure regarding Dr. Riseman?s application and to refer to the Of?ce of the Attorney General to uphold the denial. Special IMG Physiciain Applicant Requiring Board Samuel Chang, M.D. Dr. Chang appeared and addressed the Panel. After review of the application ?le and additional information provided by Dr. Chang, a motion was made, seconded and carried to grant Dr. Chang a Colorado medical license. Special Physician Assistant Applicant - Tabled - Requiring Board Review Kerry Lee Mayhew, PA-C After review of the application ?le, a motion was made, seconded and carried to grant Mr. Mayhew a Colorado physician assistant license. Miscellaneous Tiffany A. Serell, PA-C After review of the application ?le, A motion was made, seconded and carried to refer this matter for drafting of a Stipulation and Final Agency Order and to authorize Cheryl Hara to sign on behalf of the Panel a Stipulation re?ecting the Panel?s guidance. Ms. Serell was present and addressed the Panel. Alexander Thermos, M.D. After review of the ?le and Dr. Thermos? request, a motion was made, seconded and carried to deny Dr. Thermos? request to terminate his Stipulation and Final Agency Order. ADJOURNMENT There being no further business, the meeting was adjourned at 9:30 a.m. These Minutes were approved by the Panel on this day of August, 2009. THE COLORADO STATE PANEL OF MEDICAL EXAMINERS LICENSING EL a. Mark C. Watts, M.D. Chair