DISCIPLINARY ACTION REPORT - Tennessee

Disciplinary Action Report

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DISCIPLINARY ACTION REPORT

NASHVILLE, Tenn. -- Tennessee Code Annotated, Section 68-1-114 requires the Tennessee

Department of Health to issue a monthly media release listing all disciplinary actions taken by the

health related boards during the prior month. Below is a list of actions taken in May 2017. Detailed

information

about

disciplinary

actions

is

available

on

our

website

at

Enter the name of the person. When the license

information comes up, click either "disciplinary action¡± or ¡°adverse licensure action¡± in the right

column.

BOARD OF ATHLETIC TRAINERS

Licensee:

Violation:

Action:

Danielle Rowe Green, AT, Gallatin

Practiced on lapsed license

Assessed $1,000 civil penalty

Licensee:

Violation:

Action:

Shawn Toshio Matsunaga, AT, Bartlett

Practiced on lapsed license

Assessed $1,000 civil penalty

BOARD OF DENTISTRY

Licensee:

Violation:

Action:

Folasade Jessica Harper, RDA, Etowah

Failed to pay student loan

License suspended

Licensee:

Violation:

Action:

Sara Jane Miller, RDA, Pegram

Failed to pay student loan

License suspended

Licensee:

Violation:

Action:

Miracle M. Nicholson, RDA, Nashville

A violation or attempted violation, directly or indirectly, or assisting in or abetting

the violation of, or conspiring to violate, any provision of this chapter or any lawful

order of the board issued pursuant thereto or any criminal statute of the state of

Tennessee

License placed on probation to run concurrent with criminal probationary period

Licensee:

Violation:

Action:

Dawna M. Quinn, RDA, Memphis

Failed to pay student loan

License suspended

Licensee:

Violation:

Action:

Danielle Lashawn Poole, RDA, East Ridge

Failed to pay student loan

License suspended

Disciplinary Action Report

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BOARD OF MEDICAL EXAMINERS

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Marc E. Eichler, MD, Minot, North Dakota

Conviction of a felony, conviction of any offense under states or federal laws

relative to drugs or the practice of medicine, conviction of any offense involving

moral turpitude or conviction of any offense for which the person is required to be

registered as a sex offender or violent sexual offender pursuant to title 40, chapter

39, part 2

License voluntarily surrendered; assessed costs not to exceed $1,000

Gary Hayes, MD, Jasper

Unprofessional conduct, dishonorable or unethical conduct; violation or attempted

violation, directly or indirectly, or assisting in or abetting the violation of, or

conspiring to violate any provision of, or conspiring to violate any provision of this

chapter or, any lawful order of the Board issued pursuant thereto or any criminal

statute of the state of Tennessee; dispensing, prescribing or otherwise distributing

any controlled substance or any other drug not in the course of professional

practice, or not in good faith to relieve pain and suffering, or not to cure an ailment,

physical infirmity or disease, or in amounts justifiable and/or durations not

medically necessary, advisable or justified for a diagnosed condition

License revoked; assessed costs not to exceed $5,000

Action:

John L. Hochberg, MD, Nashville

Unprofessional, dishonorable or unethical conduct; gross health care liability, or a

pattern of continued or repeated health care liability, ignorance, negligence or

incompetence in the course of medical practice

License revoked

Licensee:

Violation:

Action:

Yunna Jiang, MD, Germantown*

Failed to properly maintain sufficient continuing education credits

Assessed $200 civil penalty

Licensee:

Violation:

Katie Lane Johnson, MD, Indianapolis, IN

Disciplinary action against a person licensed to practice medicine by another state

of territory of the United States for any acts or omissions that would constitute

grounds for discipline of a person licensed in this state; violated Consumer Right

To Know Act

License indefinitely suspended with terms; assessed costs not to exceed $2,000

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

John D. Jones, MD, Loudon

Making false statements or representation, being guilty of fraud or deceit in

obtaining admission to practice or being guilty of fraud or deceit in the practice of

medicine; failed to adhere to rules and/or statute regarding continuing education

License reprimanded with terms; assessed $1,600 civil penalty, plus costs not to

exceed $2,000

Charles A. Jordan, MD, Lebanon

Unprofessional conduct

License reprimanded with terms; assessed $500 civil penalty, plus costs not to

exceed $1,000

Disciplinary Action Report

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

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Louis E. Koella, MD, Sewanee

Violation or attempted violation, directly or indirectly, or assisting in or abetting the

violation of, or conspiring to violate any provision of, or conspiring to violate any

provision of this chapter or, any lawful order of the Board issued pursuant thereto

or any criminal statute of the state of Tennessee; a supervising physician, certified

nurse practitioner or a substitute supervising physician must possess a current,

unencumbered license to practice in the state of Tennessee

License probationary status from previous Order extended for a period of 7

months; assessed $700 civil penalty; plus costs not to exceed $2,000

Clifton Lavenhouse, MD, Atlanta, GA

Disciplinary action against a person licensed to practice medicine by another state

of territory of the United States for any acts or omissions that would constitute

grounds for discipline of a person licensed in this state

License suspended indefinitely with terms; assessed costs not to exceed $1,000

Licensee:

Violation:

Action:

Douglas Ligon, MD, Dickson

Unprofessional conduct

License reprimanded with terms; assessed $500 civil penalty, plus costs not to

exceed $1,000

Licensee:

Violation:

Kathleen McConnell, MD, Kingsport

Violation or attempted violation, directly or indirectly, or assisting in or abetting the

violation of, or conspiring to violate any provision of, or conspiring to violate any

provision of this chapter or, any lawful order of the Board issued pursuant thereto

or any criminal statute of the state of Tennessee; unprofessional conduct,

dishonorable or unethical conduct

License placed on probation to run concurrent with TMF contract; assessed $300

civil penalty, plus costs not to exceed $2,000

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Jeff C. McCoy, MD, Brentwood

Violation or attempted violation, directly or indirectly, or assisting in or abetting the

violation of, or conspiring to violate any provision of, or conspiring to violate any

provision of this chapter or, any lawful order of the Board issued pursuant thereto

or any criminal statute of the state of Tennessee

License reprimanded with terms; assessed $100 civil penalty, plus costs not to

exceed $1,000

Karen Paul, MD, Metairie, LA

Violation or attempted violation, directly or indirectly, or assisting in or abetting the

violation of, or conspiring to violate any provision of, or conspiring to violate any

provision of this chapter or, any lawful order of the Board issued pursuant thereto

or any criminal statute of the state of Tennessee

License voluntarily surrendered; assessed costs not to exceed $2,000

Kenneth Poag, MD, Columbia

Unprofessional conduct, dishonorable or unethical conduct

License reprimanded; assessed $1,000 civil penalty, plus costs not to exceed

$2,000

Disciplinary Action Report

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Page 4 of 17

Paul D. Randolph, MD, Memphis

Making false statements or representation, being guilty of fraud or deceit in

obtaining admission to practice or being guilty of fraud or deceit in the practice of

medicine; failed to adhere to rules and/or statute regarding continuing education

License reprimanded with terms; assessed $2,850 civil penalty, plus costs not to

exceed $2,000

Dallas A. Smith, Jr., MD, Greensboro, NC

Disciplinary action against a person licensed to practice medicine by another state

of territory of the United States for any acts or omissions that would constitute

grounds for discipline of a person licensed in this state; violated Consumer Right

To Know Act

License reprimanded

Vijil K. Rahulan, MD, Grandville, MI

Disciplinary action against a person licensed to practice medicine by another state

of territory of the United States for any acts or omissions that would constitute

grounds for discipline of a person licensed in this state; violated Consumer Right

To Know Act

License reprimanded; assessed $1,000 civil penalty, plus costs not to exceed

$2,000

Delayed Reporting by Board, License disciplined March 2017

BOARD OF MEDICAL EXAMINERS COMMITTEE ON PHYSICIAN ASSISTANTS

Licensee:

Violation:

Action:

Aubrey M. Cawthon, PA, Shelbyville

Violation of statutes and rules regarding improper or abusive practices inconsistent

with normal prescribing guidelines

License placed on probation for 1 year with terms; assessed $1,000 civil penalty,

plus costs not to exceed $2,000

Licensee:

Violation:

Action:

Marsha Lynn Peercy, PA, Knoxville

Conviction of a misdemeanor or felony

License placed on probation for 1 year with terms; assessed costs not to exceed

$3,0000

Licensee:

Violation:

Ashley B. Wallace, PA, Thompsons Station

Unprofessional, dishonorable or unethical conduct; habitual intoxication or

personal misuse of any drugs or the use of intoxicating liquors, narcotics,

controlled substances, or other drugs or stimulants in such manner as to adversely

affect the person¡¯s ability to practice as a physician assistant; conviction of a

misdemeanor or felony; engaging in the practice of a physician assistant when

mentally or physically unable to safely do so; disciplinary action against a person

licensed, certified, registered, or permitted to practice medicine by another state or

territory of the United States for any acts or omissions which would constitute

grounds for discipline of a person licensed in this state

License suspended with terms; surrender DEA registrations for all schedules of

controlled substances, agrees not to seek reinstatement of such DEA privileges

Action:

Disciplinary Action Report

Page 5 of 17

until neither Pennsylvania nor Tennessee licenses are unnumbered; assessed

$300 civil penalty, plus costs not to exceed $2,000

BOARD OF NURSING

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Action:

Licensee:

Violation:

Stephanie R. Bellesheim, RN, Jamestown

Unfit or incompetent by reason of negligence, habits or other cause; and guilty

of unprofessional conduct, to wit: intentionally or negligently causing physical or

emotional injury to patient; and abandoning or neglecting a patient requiring

nursing care

License voluntarily surrendered

Jayme Bernero, LPN, Nashville

Guilty of unprofessional conduct, to wit: making false or materially incorrect,

inconsistent or unintelligible entries in any patient records or in the records of

any health care facility, school, institution or other work place location pertaining

to the obtaining, termspossessing or administration of any controlled substance

as defined in the Federal Controlled Substances Act; unauthorized use or

removal of narcotics, drugs, supplies or equipment from any health care facility,

school, institution or other work place location; impersonating another licensed

practitioner; performing nursing techniques or procedures without proper

education and practice; and engaging in acts of dishonesty which relate to the

practice of nursing

License voluntarily surrendered

Angela S. Blackburn, RN, Hurricane Mills

Guilty of unprofessional conduct, to wit: unauthorized use or removal of

narcotics, drugs, supplies or equipment from any health care facility, school,

institution or other work place location

License reprimanded; must obtain continuing education hours regarding

medication errors, administration, storage and/or usage; assessed a $500 civil

penalty

Wilhemina Boadi, RN/APRN, Acworth (GA)

While prescribing medication, failed to: address the side effects of pain

medications and other drugs; and complete and appropriately document certain

prerequisites; and guilty of unprofessional conduct, to wit: over-prescribing, or

prescribing in a manner inconsistent with Rules 1000-04-.08 and 1000-04-.09

RN license and APRN certificate placed on probation for no less than two years

with terms; must complete Board-ordered coursework in the areas of medical

record-keeping and prescribing controlled drugs; must obtain practice

monitoring through Affiliated Monitors for two years; assessed $2,750 in civil

penalties, plus costs not to exceed $20,000

Lauren S. Bourne, RN, Murfreesboro

Unfit or incompetent by reason of negligence, habits or other cause; and guilty

of unprofessional conduct, to wit: unauthorized use or removal of narcotics,

drugs, supplies or equipment from any health care facility, school, institution or

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