AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

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A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON AUGUST 27, 2020 TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS NO. NAME VIOLATION VIOLATION DATE SANCTION 1 Claudia Juanita Rios Applicant (N) ABO #2020-00754 Misdemeanor Theft (deferred) 03/03/2020 Grant + reprimand 2 Myriah Dawn Wright Reg. #241549 (R) ABO #2019-03861 Misdemeanor Theft $100 to <$750 (deferred) Falsified registration renewal 03/21/2016 04/12/2017 Reprimand + $500 penalty

Transcript of AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

AUGUST 27, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Claudia Juanita Rios Applicant (N) ABO #2020-00754

Misdemeanor Theft (deferred) 03/03/2020 Grant + reprimand

2 Myriah Dawn Wright Reg. #241549 (R) ABO #2019-03861

Misdemeanor Theft $100 to <$750 (deferred) Falsified registration renewal

03/21/2016

04/12/2017

Reprimand + $500 penalty

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

AUGUST 28, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Robyn Renee Bilimek Reg. #114654 (R) ABO #2019-05898

Falsified application for pharmacy technician registration

04/07/2004 $500 penalty

2 Alexander R. Saucedo Reg. #263828 (R) ABO #2020-02232

- - Voluntary revocation

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

AUGUST 31, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Alexis Kiara Coleman App (A) ABO #2020-02794

Misdemeanor Theft (convicted) 09/08/2015 Grant + reprimand

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

SEPTEMBER 3, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Devyn Polk App (N) ABO #2020-03130

Filing a False Report (convicted) 12/11/2018 Grant + reprimand

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

SEPTEMBER 23, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Ariel Garcia App (N) ABO #2020-02868

Misdemeanor Theft (deferred) 01/12/2016 Grant + reprimand

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

SEPTEMBER 29, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Pascual Eddie Delgado Reg. #264311 (R) ABO #2020-02891

- - Voluntary revocation

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

OCTOBER 21, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Tiffany Deon Boone Reg. #116993 (R) ABO #2021-00429

- - Voluntary revocation

A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR ON

OCTOBER 28, 2020

TECHNICIAN AND TRAINEE ALTERNATIVE RESOLUTION ABOS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Rachel Cortez Reg. #216008 (R) ABO #2021-00298

- - Voluntary revocation

2 Cade Robert Faulkner Reg. #291856 (T) ABO #2020-04696

- - Voluntary revocation

3 Shevonna Chantreil Latson Reg. #274081 (R) ABO #2020-05243

- - Voluntary revocation

4 Beth Ann Ottino Reg. #167336 (R) ABO #2020-04283

- - Voluntary revocation

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A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee

5 Leonardo Trevino Reg. #289669 (R) ABO #2020-04789

- - Voluntary revocation

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR

ON August 28, 2020

# NAME VIOLATION VIOLATION

DATE SANCTION

1 Darrell Hooker License #25070 ABO #2020-01883

-

- Voluntary retirement

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR

ON September 16, 2020

# NAME VIOLATION VIOLATION

DATE SANCTION

1 Brookshire Pharmacy #19 License #25507 ABO #2020-01870

Pamela Denise Sperling unlawfully engaged in the duties of a technician at Brookshire Pharmacy #19 with a delinquent registration Sandra Strong-Humphrey, PIC at Brookshire Pharmacy #19, failed to properly supervise pharmacy personnel Andrew Young, PIC at Brookshire Pharmacy #19, failed to properly supervise pharmacy personnel

07/01/2019 through

12/17/2019

07/01/2019 through

10/28/2019

10/29/2019 through

12/17/2019

$3,000 penalty + develop policies and procedures

2 Chicha Kazembe Combs License #39526 ABO #2021-00029

- - Modification granted

3 George Phillip Tompkins License #17770 ABO #2020-04490

-

- Voluntary revocation

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR

ON September 23, 2020

# NAME VIOLATION VIOLATION

DATE SANCTION

1 Eguono Ogbevire License #51228 ABO #2020-04255

-

-

Voluntary revocation

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR

ON September 29, 2020

# NAME VIOLATION VIOLATION

DATE SANCTION

1 Tony Brown License #54956 ABO #2020-05423

-

-

Voluntary revocation

2 Calvary Pharmacy License #31556 ABO #2020-04939

-

-

Voluntary revocation

AGREED BOARD ORDERS ENTERED BY EXECUTIVE DIRECTOR

ON October 21, 2020

# NAME VIOLATION VIOLATION

DATE SANCTION

1 Abeldt’s Gaslight Pharmacy, Inc. License #4196 ABO #2021-00641

- - Modification granted

MHP = Mental Health Professional

CONSIDERATION OF TECHNICIAN AND TECHNICIAN TRAINEE AGREED BOARD ORDERS AND DEFAULT ORDERS

November 3, 2020

AGREED BOARD ORDERS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Susan Michelle Catron TNT Applicant 2020-02757

Felony Theft (deferred) 10/09/2001 Grant registration + 1 year probation

2 Latoya Annette Craft TNT Applicant 2020-01213

Felony Theft of Property of the Value of $1,500 to $20,000 (deferred)

07/08/2008 Grant registration + 1 year probation

3 Jessica Dyan Easley TNT Applicant 2020-02713

Felony Possession of a Controlled Substance (deferred)

01/19/2006

Grant registration + 1 year probation

4 Kim Jennings Tech Applicant 2020-01650

Felony Injury to a Child (deferred) 06/14/2011 Grant registration + 3 years probation

5 Pamela McDermott TNT Applicant 2019-04111

Felony Child Abuse (convicted) 03/21/2002 Grant registration + 1 year probation

6 Catherine Verastigue TNT Applicant 2020-02809

Felony Possession of a Controlled Substance with Intent to Deliver (deferred)

04/27/2009 Grant registration + 5 years probation

MHP = Mental Health Professional

NO. NAME VIOLATION VIOLATION DATE

SANCTION

7 Tara Volovar Tech Reinstatement Applicant 2019-05265

Prior Order: • ABO #T-17-205

Grant reinstatement + 5 years probation

8 Anthony Duane Baker Registered Tech #167230 2020-02551

Misdemeanor Driving While Intoxicated (convicted) Misdemeanor Driving While Intoxicated (convicted)

02/28/2019 12/11/2019

MHP + 5 years probation

9 Diana April Campos Registered Tech #131394 2020-04493

Prior Orders: • ABO #T-16-122 • ABO #T-18-005 • ABO #T-18-027 • ABO #2019-05884 Prior Offenses: • Failed to submit to performance of

unscheduled drug and alcohol analysis • Submitted a dilute sample for

urinalysis Failed to submit to performance of unscheduled drug and alcohol analysis

11/08/2016 05/15/2017 06/25/2020

30-day suspension

10 Blake Lindsey TNT Applicant 2020-01377

Misdemeanor Possession of Marijuana < 2 oz. (deferred)

03/13/2019 Grant registration + MHP + 1 year probation

11 Valencia Obi Registered Tech #248859 2019-02608

Misdemeanor Possession of Marijuana (deferred)

05/14/2019 MHP + 1 year probation

MHP = Mental Health Professional

NO. NAME VIOLATION VIOLATION DATE

SANCTION

12 Claudia Lizai Pedraja TNT Applicant 2020-03094

Felony Evading Arrest with a Vehicle (convicted) Felony Driving While Intoxicated with a Child Under 15 Years of Age (convicted) Felony Abandon/Endanger Child Criminal Negligence (convicted)

09/13/2013 09/13/2013 09/13/2013

Grant registration + MHP + 3 years probation

13 Eleanor Jessica Seeton TNT Applicant 2020-04229

Felony Theft (deferred) 03/03/2010 Grant registration + 1 year probation

MHP = Mental Health Professional

DEFAULT BOARD ORDERS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

14 Chelsey Nelson Registered TNT #298851 2020-02445

Felony Possession of a Controlled Substance (deferred)

01/28/20 Revocation

15 Nicole Hayden Registered Tech #188258 2019-02605

Misdemeanor Theft of Property $100 to < $750

11/21/2019 $500 administrative penalty

16 Robert Leyton Gunn, Jr. Registered Tech #246036 2020-04913

Prior Orders: • ABO #T-15-180-N • ABO #T-18-007 Prior Offenses: • Failed to submit to performance of

unscheduled drug and alcohol analysis Failed to submit to performance of unscheduled drug and alcohol analysis

10/03/2018 11/16/2018 06/30/2020 07/20/2020

$250 administrative penalty

17 Steven Daniel Martinez Registered TNT #290542 2019-05009

Felony Possession of a Controlled Substance (deferred)

02/07/2020 Revocation

18 Tayde Alejandro Solis Registered Tech #211521 2019-01999

Felony Possession of Marihuana-Fifty Pounds or Less but More than Five Pounds (deferred)

12/03/2018 Revocation

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 3, 2020

PUBLIC ORDERS

ALTERNATIVE RESOLUTIONS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

1 Amber Jar Pharmacy Lic. #28575 2019-04864

Failed to maintain complete and accurate dispensing records Operation of pharmacy without a pharmacist-in-charge

01/13/2019 – 07/24/2019 01/13/2019 – 08/18/2019

$1,500 penalty

2 DCA Pharmacy Lic. #27889 2020-01408

Operation of pharmacy without a pharmacist-in-charge 09/23/2019 – 02/12/2020

$1,000 penalty

3 Lan Kim Trinh Dusek Lic. #37425 2020-02496

Misdemeanor Theft (convicted) 11/07/2019 Reprimand

4 Express Specialty Pharmacy LLC Lic. #29279 2020-01509

Ceased to engage in the business of pharmacy

03/07/2019 – 11/18/2019

$3,000 penalty

NO. NAME VIOLATION VIOLATION DATE

SANCTION

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

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5 Kietrich Terron Johnson Lic. #42290 2020-02561

Ceased to engage in the business of pharmacy

09/18/2019 – 11/18/2019

$1,000 penalty

6 Hesperia Pharmacy Lic. #32284 2020-02274 Olajuwon A. Abijo Lic. #58245 2020-02428

Ceased to engage in the business of pharmacy

06/28/2019 – 01/01/2020

$3,000 penalty

7 Ceased to engage in the business of pharmacy

08/15/2019 – 01/01/2020

$1,000 penalty

8 Kayleigh Marx Lic. #55638 2020-00926

Failure to pay administrative penalty

10/30/2019 $500 penalty

9 Sunny Boy Pharmacy Lic. #32652 2020-01583

Failed to engage in the business of pharmacy 11/11/2019 – 11/18/2019

$3,000 penalty

10 Jacob Michael Talavera Lic. #65341 2020-03359

Failure to timely report change of PIC 10/23/2019 $500 penalty

11 Jeffrey Scott Terry Lic. #32217 2020-04007

- - Voluntary retirement

NO. NAME VIOLATION VIOLATION DATE

SANCTION

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

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12 Vascore Pharmacy, LLC Lic. #32711 2020-02701 Mwambo Burnley Luma Lic. #41374 2020-02711

Ceased to engage in the business of pharmacy

12/18/2019 – 02/10/2020

$3,000 penalty

13 Ceased to engage in the business of pharmacy

12/18/2019 – 02/10/2020

$1,000 penalty

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 3, 2020

TEMPORARY SUSPENSION ORDERS

NO. NAME VIOLATION VIOLATION

DATE SANCTION

14 Jay’s City Pharmacy Lic. #6417 2020-02261

Failure to pay probation fee or to submit a written report of policies and procedures Failure to operate pharmacy in a sanitary manner and dispensing prescriptions in a manner presenting a continuing threat to the public welfare

02/05/2019 08/07/2020

Temporary suspension

15 John James Kotzur Lic. #22884 2020-05239

Failure to operate pharmacy in a sanitary manner and dispensing prescriptions in a manner presenting a continuing threat to the public welfare

08/07/2020 Temporary suspension

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 3, 2020

PUBLIC ORDERS

AGREED BOARD ORDERS AFTER INFORMAL CONFERENCE

NO. NAME VIOLATION VIOLATION DATE

SANCTION

16 Aria Pharmacy LLC Lic. #31604 2019-04859

Operation of pharmacy without a pharmacist-in-charge

06/06/2019 – 07/28/2019

$1,000 penalty

17 Uzoamaka Ann Ezeokeke Lic. #52312 2020-03588

Dispensed controlled substances pursuant to invalid prescriptions

04/04/2018 – 02/21/2020

3 year probation with conditions + $3,000 penalty + MPJE

18 Keith Marcell Hudson Lic. #35022 2020-00939

Dispensed controlled substances pursuant to invalid prescriptions

06/10/2019 – 08/12/2019

5 year probation with conditions + MPJE

19 Anne-Melanie B. Marin Lic. #46872 2020-01525

Failure to properly supervise pharmacy personnel

10/01/2019 – 11/15/2019

$1,000 penalty

NO. NAME VIOLATION VIOLATION DATE

SANCTION

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

2

20 Charles Jude Mitchell Lic. #37346 2019-06006

Audit shortage (3 counts) Terminated from employment due to multiple manual adjustments to pharmacy’s inventory Violated ABO#E-12-002

04/20/2017 – 04/19/2019

Supersede + suspension longer of 180 days or until pass MPJE + 5 year probation with conditions + drug screening

21 Sandra Strong-Humphrey Lic. #29640 2020-02437

Failure to properly supervise pharmacy personnel

07/01/2019 – 12/17/2019

$1,000 penalty

22 Christopher V. Tita Lic. #32221 2020-04327

Request for termination of Agreed Board Order #R-15-003

- Termination granted

23 Walgreens #03881 Lic. #17251 2019-01178

Dispensing/delivery error (wrong drug) Failure to provide adequate security for confidential patient records

11/02/2018 Reprimand + $1,000 penalty + CQIP

24 Shimitre Rachelle Williams Lic. #37456 2020-01163

Failed to engage in the business of pharmacy

07/25/2019 – 08/07/2019

$1,000 penalty

App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education

CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 3, 2020

PUBLIC ORDERS

DEFAULT ORDERS

NO. NAME VIOLATION VIOLATION DATE

SANCTION

25 Godson Chukuemeka Brown Lic. #35816 2020-01140

Ceased to engage in the business of pharmacy Negligent in the practice of pharmacy and failed to legally operate pharmacy

01/17/2019 – 10/07/2019

Revocation

26

NA Pharmacy Group LLC Lic. #32170 2019-05147

Operation of pharmacy without a pharmacist-in-charge (2 counts)

05/23/2019 – 08/27/2019 09/11/2019 – 11/22/2019

$2,000 penalty