MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY …

MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

BUREAU OF PROFESSIONAL LICENSING

DISCIPLINARY ACTION REPORT

Orders served from 07/29/2019 through 08/02/2019

Profession/Name

License Number

Effective Date/Action

Basis for Action

Medicine

Sigmund H Ancerewicz, M.D.

Naples, FL

4301028103

07/30/2019

Voluntarily Surrendered

Continuing Education

Medicine

Gerald Richard Dreslinski, M.D.

Brighton, MI

4301052376

08/29/2019

Fine Imposed;

Probation

Continuing Education

Medicine

Charles Joseph Gbur, Jr., M.D.

Maumee, OH

4301075382

08/29/2019

Fine Imposed;

Probation

Continuing Education

Medicine

Paul Juhasz, M.D.

Mount Pleasant, MI

4301033157

08/29/2019

Fine Imposed;

Probation

Continuing Education

Medicine

Ammar Kanaan, M.D.

Southgate, MI

4301077121

08/29/2019

Fine Imposed;

Probation

Continuing Education

Medicine

Christopher Roger Kennedy, M.D.

Howell, MI

4301076517

07/30/2019

Voluntarily Surrendered

Continuing Education

Medicine

Jeffrey D Lazar, M.D.

Austin, TX

4301035290

07/30/2019

Voluntarily Surrendered

Continuing Education

4301086446

08/29/2019

Fine Imposed;

Probation

Continuing Education

4301095356

08/29/2019

Fine Imposed;

Probation

Continuing Education

Medicine

Rockefeller Acheampong Oteng,

M.D.

Ann Arbor, MI

Medicine

Veni Jhansi Peram, M.D.

Southfield, MI

Page 1 of 6

LARA/Bureau of Professional Licensing

Disciplinary Action Report

Orders served from 7/29/2019 through 8/2/2019

Profession/Name

License Number

Effective Date/Action

Basis for Action

Medicine

Raveen Singh Rai, M.D.

Novi, MI

4301101539

08/29/2019

Fine Imposed;

Probation

Continuing Education

Medicine

Harold W Stehlik, M.D.

Dearborn, MI

4301032240

07/30/2019

Voluntarily Surrendered

Continuing Education

Medicine

Salam Ali Yanek, M.D.

Troy, MI

4301073306

08/29/2019

Fine Imposed;

Probation

Continuing Education

Nursing

Cindy Kay Altheeb, R.N.

Ypsilanti, MI

4704276396

08/31/2019

Summary Suspension

Dissolved;

Fine Imposed;

Suspended

Alcohol Related Conviction

Nursing

Shavonie Raquel Baltimore, R.N.

Jackson, MI

4704310992

08/31/2019

Fine Imposed;

Probation

Negligence-Impaired Conduct,

Practice, or Condition

Nursing

Shannon Marie Becraft, R.N.

Southgate, MI

4704288996

08/31/2019

Fine Imposed;

Probation

Alcohol Related Conviction;

Failure to Report or Comply

4704317893

08/31/2019

Fine Imposed;

Probation

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence-Impaired Conduct,

Practice, or Condition

Nursing

Daniel William Bush, R.N.

Brighton, MI

4704318932

08/31/2019

Fine Imposed;

Probation

Negligence

Nursing

Alicia Christine Cook, R.N.

Metamora, OH

4704261069

08/01/2019

Summary Suspension

Dissolved;

Fine Imposed;

Suspended;

Probation Upon

Reinstatement

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence-Impaired Conduct,

Practice, or Condition

Nursing

Lauren Rena Brogdon, R.N.

a/k/a Lauren Rena Glowe

Shelby Township, MI

Page 2 of 6

LARA/Bureau of Professional Licensing

Disciplinary Action Report

Orders served from 7/29/2019 through 8/2/2019

Profession/Name

License Number

Effective Date/Action

Basis for Action

Nursing

Jennifer Rae Curtiss, R.N.

Mt. Pleasant, MI

4704187376

08/31/2019

Fine Imposed;

Probation

Incompetence;

Negligence-Impaired Conduct,

Practice, or Condition

Nursing

Linda Sue Dishno, R.N.

Gwinn, MI

4704240319

08/31/2019

Suspended

Continuing Education

Nursing

William Henry Doot, R.N.

Jenison, MI

4704312443

08/31/2019

Fine Imposed

Order Violation

Nursing

Michael Joseph Gavin, R.N.

Farmington Hills, MI

4704337199

08/31/2019

Fine Imposed

Probation

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence-Impaired Conduct,

Practice, or Condition

Nursing

Monica Christine Geiger, L.P.N.

Big Rapids, MI

4703093328

08/01/2019

Summary Suspension

Dissolved;

Fine Imposed;

Suspended;

Probation Upon

Reinstatement

Drug Related Conviction;

Mental/Physical Inability to Practice;

Drug Diversion;

Failure to Report or Comply;

Impaired Conduct, Practice, or

Condition;

Incompetence

Lack of Good Moral Character;

Nursing

Kyle Brandon Grandmaison, R.N.

Bay City, MI

4704267381

08/31/2019

Fine Imposed;

Probation

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence-Impaired Conduct,

Practice, or Condition

Nursing

Archia Denise Jackson, R.N.

Saginaw, MI

4704235782

08/31/2019

Fine Imposed;

Probation;

Reprimanded

Betrayal of Professional

Confidence;

Negligence-Incompetence

Nursing

Haroletta Marie Lilly, R.N., C.N.P.

Flint, MI

4704169927

08/31/2019

Fine Imposed;

Probation

Criminal Conviction;

Failure to Report or Comply;

Lack of Good Moral Character

Nursing

Jary Gabiel Lizardo, R.N.

Grand Rapids, MI

4704303300

08/31/2019

Fine Imposed;

Probation

Negligence-Incompetence

Page 3 of 6

LARA/Bureau of Professional Licensing

Disciplinary Action Report

Orders served from 7/29/2019 through 8/2/2019

Profession/Name

License Number

Effective Date/Action

Basis for Action

4704310951

08/31/2019

Fine Imposed

Order Violation

4704296067

08/01/2019

Summary Suspension

Dissolved;

Fine Imposed;

Suspended

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Mental/Physical Inability to

Practice;

Negligence-Impaired Conduct,

Practice, or Condition;

Substance Use Disorder

Nursing

Victoria Alese Tracy, L.P.N.

Manchester, MI

4703117364

08/31/2019

Fine Imposed;

Probation

Alcohol Related Conviction;

Drug Diversion;

Failure to Report or Comply;

Impaired Conduct, Practice, or

Condition;

Mental/Physical Inability to

Practice;

Substance Use Disorder

Nursing

Darlene Kay Wainwright, R.N.

Bay City, MI

4704258484

07/30/2019

Summary Suspension

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence-Impaired Conduct,

Practice, or Condition

Osteopathic Medicine Surgery

Raymond Phillip Allard, D.O.

Carson City, MI

5101011651

08/31/2019

Fine Imposed;

Limited / Restricted;

Probation

Negligence - Incompetence

Osteopathic Medicine Surgery

Gregory Q Clague, D.O.

Royal Oak, MI

5101006602

08/01/2019

Voluntarily Surrendered

Continuing Education

Osteopathic Medicine Surgery

Paul Stephen Dyball, D.O.

North Muskegon, MI

5101017457

08/31/2019

Fine Imposed;

Probation;

Reprimanded

Negligence;

Technical Violation of the Michigan

PHC

Osteopathic Medicine Surgery

Robert Charles Glapinski, D.O.

Capac, MI

5101013200

08/31/2019

Fine Imposed

Incompetence

Nursing

Kelly Christine Morden, R.N.

a/k/a Kelly Christine Chizick

Riverview, MI

Nursing

Natalie Ann Strong, R.N.

a/k/a Natalie Ann Quinn

Sterling Heights, MI

Page 4 of 6

LARA/Bureau of Professional Licensing

Disciplinary Action Report

Orders served from 7/29/2019 through 8/2/2019

Profession/Name

License Number

Effective Date/Action

Basis for Action

Osteopathic Medicine Surgery

Ashraf Inayat Khan, D.O.

Clarkston, MI

5101011353

08/31/2019

Fine Imposed;

Probation

Negligence

Pharmacy

Zachary James Bourque, Ph.T.

Saginaw, MI

5303014179

07/29/2019

Summary Suspension

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence

Pharmacy

Jessica-Marie Janet Fisher, Ph.T.

Berkley, MI

5303016086

07/31/2019

Summary Suspension

Drug Diversion;

Incompetence;

Lack of Good Moral Character;

Negligence-Impaired Conduct,

Practice, or Condition

Physician¡¯s Assistant

Krista Jordan Cassisi, P.A.

Clarkston, MI

5601007463

07/24/2019

Impaired Conduct, Practice, or

Summary Suspension

Condition;

Dissolved

Substance Use Disorder

Fine Imposed;

Suspended;

Probation Upon Reinstatement

6802089160

08/29/2019

Fine Imposed;

Probation

Negligence - Incompetence;

Lack of Good Moral Character;

Betrayal of a Professional

Confidence;

Technical Violation of the Michigan

PHC

Social Work

Agnes Marie Isaacs, L.B.S.W.

East Lansing, MI

6801090118

08/29/2019

Voluntarily Surrendered

Continuing Education

Social Work

Paulette Johnson, L.B.S.W.

Kalamazoo, MI

6802060113

08/29/2019

Fine Imposed;

Probation

Negligence - Incompetence;

Technical Violation of the Michigan

PHC

Social Work

Betsey Laurie Sivec, L.M.S.W.

Kaleva, MI

6801034180

08/29/2019

Fine Imposed;

Probation

Negligence - Incompetence;

Social Work

Michael Joseph Bellmore,

L.L.B.S.W.

Sault Sainte Marie, MI

Date Submitted: 08/14/2019

Page 5 of 6

LARA/Bureau of Professional Licensing

Disciplinary Action Report

Orders served from 7/29/2019 through 8/2/2019

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download