MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF PROFESSIONAL LICENSING
DISCIPLINARY ACTION REPORT
Orders served from 7/25/2016 through 7/29/2016
Name/Profession
License Number
Effective Date/Action
Basis For Action
43-01-035627
07/20/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
43-01-026338
07/20/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
43-01-072044
08/19/2016 Reprimanded Fine Imposed
Violation of General Duty/Negligence
43-01-036977
07/20/2016 Summary Suspension Dissolved Voluntarily Surrendered Fine Imposed
Negligence - Incompetence Drug Diversion Lack of Good Moral Character Failure to Report/Comply Probation Violation
MEDICINE Sunmi Yun Auh, M.D. Toledo, OH
MEDICINE Robert Alastair Barron, M.D. Central Lake, MI
MEDICINE Elena Cherniavski, M.D. West Bloomfield, MI
MEDICINE Fanny A Dela Cruz, M.D. Livonia, MI
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MEDICINE Sheila Kanti Dhandha, M.D. Bloomfield Hills, MI
43-01-032353
07/20/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
43-01-069035
08/19/2016 Limited / Restricted Probation Fine Imposed
Violation of General Duty/Negligence
08/19/2016 Fine Imposed
Lack of Good Moral Character
43-01-062055
08/19/2016 Fine Imposed
Violation of General Duty/Negligence
43-01-042308
08/19/2016 Probation Fine Imposed
Negligence - Incompetence Technical Violation of the Michigan PHC
MEDICINE Martin Snell Holmes, M.D. Albion, MI
MEDICINE Chadi Ibrahim, M.D., Educ. Ltd. 43-01-104616 College Park, MD
MEDICINE Jeffrey Scott Lipsky, M.D. Farmington Hills, MI
MEDICINE Richard Wayne MacAuley, M.D. West Branch, MI
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MEDICINE
Paul Marius Petre, M.D. Shelby Township, MI
43-01-078751
07/20/2016 Summary Suspension Dissolved Revoked Fine Imposed
Lack of Good Moral Character Criminal Conviction - Drug Related Failure to Report/Comply
43-01-087245
08/19/2016 Limited / Restricted Probation Fine Imposed
Negligence - Incompetence Drug Diversion
43-01-042565
08/19/2016 Reprimanded Fine Imposed
Sister State Disciplinary Action
43-01-049960
07/20/2016 Probation Fine Imposed
Violation of General Duty/Negligence
43-01-087049
08/19/2016 Limited / Restricted Reprimanded Fine Imposed
Negligence - Incompetence
MEDICINE Ramon Octavio Rodriguez, M.D. Saginaw, MI
MEDICINE John A Ross, M.D. Fostoria, OH
MEDICINE Robert F Slattery, M.D. Ann Arbor, MI
MEDICINE Fares Fehmi Yasin, M.D. Dearborn, MI
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NURSING
Francisca Maria Bell-Shanahan, 47-03-098628 L.P.N. Holland, MI
07/26/2016 Summary Suspension
Criminal Conviction
NURSING Victoria Kouzikas, R.N. Northville, MI
07/29/2016 Summary Suspension
Violation of General Duty/Negligence-Impairment Incompetence Substance Use Disorder Mental/Physical Inability to Practice
07/18/2016 Reprimanded Probation Fine Imposed
Failure to Meet Cont. Ed. Requirements
Mfr./Wholesler 53-06-001947
08/14/2016 Revoked
Technical Violation of the Michigan PHC
53-02-029693
08/14/2016 Suspended Fine Imposed
Probation Violation
47-04-160000
OSTEOPATHIC MEDICINE AND SURGERY Matt Alexander Ciesielski, D.O. 51-01-013940 Kalamazoo, MI
PHARMACY Priority Pharmaceuticals San Diego, CA
PHARMACY Michael Jay Carroll, R.Ph. Howell, MI
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PHARMACY
Robin M Castanino, R.Ph. Bloomfield Hills, MI
53-02-025816
08/14/2016 Suspended Fine Imposed
53-02-028315
07/15/2016 Reinstatement Denied
CS-License 53-15-073607
08/14/2016 Suspended Fine Imposed
53-02-023032
07/15/2016 Reinstatement Granted Limited / Restricted Probation
Unlicensed
07/15/2016 License Denied
Failure to Meet Cont. Ed. Requirements
PHARMACY Evelyn Neh Djoumessi, R.Ph. Southfield, MI
PHARMACY Michael Craig Hutchison, D.D.S. Traverse City, MI
Technical Violation of the Michigan PHC
PHARMACY Robert Michael Leal, R.Ph. Chagrin Falls, OH
PHARMACY Matthew Gerald Mitchell Sterling Heights, MI
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Failure to Meet Licensing Requirements
PHARMACY
Nhut Hung Antoine Pham,
R.Ph. Sugarland, TX
53-02-038665
08/14/2016 Suspended Fine Imposed
Failure to Meet Cont. Ed. Requirements
53-02-027567
07/15/2016 Summary Suspension Dissolved Revoked Fine Imposed
Violation of General Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice Probation Violation
53-02-031132
07/15/2016 Reinstatement Granted Upon Meeting Conditions Limited / Restricted Probation
PHARMACY Mark William Rutkoski, R.Ph. Plainwell, MI
PHARMACY Hossam M Tanana, R.Ph. Dearborn, MI
PHARMACY Cory Rene Trimble Rochester Hills, MI
Unlicensed
07/15/2016 License Denied
Violation of General Duty/Impairment Substance Use Disorder Mental/Physical Inability to Practice
07/14/2016 Probation Fine Imposed
Failure to Meet Cont. Ed. Requirements
PHARMACY Laurie Anne Watson, R.Ph. Troy, MI
53-02-411258
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SOCIAL WORK Gloria Jean Byrnes, L.B.S.W. f/k/a Gloria Jean Bassett Marquette, MI
68-02-019255
07/19/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
68-01-085389
07/19/2016 Summary Suspension Dissolved Fine Imposed
Criminal Conviction Failure to Report/Comply
68-01-059448
07/19/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
68-02-067730
07/19/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
68-02-084824
07/19/2016 Voluntarily Surrendered
Failure to Meet Cont. Ed. Requirements
SOCIAL WORK Susan Lee Clingerman, L.M.S.W. Mason, MI
SOCIAL WORK Kathy Fletcher, L.M.S.W. Fremont, MI
SOCIAL WORK Mary B Flynn, L.B.S.W. Flushing, MI
SOCIAL WORK Tamara Moureen Hebert, L.B.S.W. f/k/a Tamara Moureen Trutt Lansing, MI
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SOCIAL WORK Diane M Kukulis, L.M.S.W. Saginaw, MI
68-01-072048
08/18/2016 Probation Fine Imposed
Violation of General Duty/Negligence Technical Violation of the Michigan PHC
08/18/2016 Limited / Restricted Probation Fine Imposed
Negligence - Incompetence Lack of Good Moral Character
68-01-015026
08/18/2016 Reprimanded Probation Fine Imposed
Incompetence Lack of Good Moral Character
68-02-086758
08/18/2016 Suspended Fine Imposed
Sexual Misconduct
SOCIAL WORK
Deano Bruce Mitchell, L.B.S.W. 68-02-079722 Westland, MI
SOCIAL WORK Leo P Niffeler, L.M.S.W. Royal Oak, MI
SOCIAL WORK Juli Christine Travis, L.B.S.W. f/k/a Juli Christine Strong Reed City, MI
Date Submitted: August 19, 2016 **Final administrative disciplinary action is subject to judicial review. Copies of disciplinary documents can be obtained at www.michigan.gov/verifylicense. To obtain a copy of disciplinary documents pertaining to a specific health professional that is not posted to the Verify a License web site; please submit a request in writing to Michigan Department of Licensing and Regulatory Affairs, Freedom of Information Coordinator at
[email protected]. Disciplinary Action Reports can be obtained from our Web site: .
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