Document 1567686

MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF PROFESSIONAL LICENSING
DISCIPLINARY ACTION REPORT
Orders served from 1/18/2016 through 1/22/2016
Name/Profession
License Number
Effective Date/Action
Basis For Action
01/15/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
29-03-001841
01/19/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
29-02-015007
01/08/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
29-02-006859
01/19/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
DENTISTRY
Rosalie Macaraniag Baggayan, 29-02-014088
R.D.H.
Rochester Hills, MI
DENTISTRY
Brooke Heather Brown, R.D.A.
Sparta, MI
DENTISTRY
Stephanie Brooke Fickle,
R.D.H.
Chapel Hill, NC
DENTISTRY
Andrea Hayosh-Welborn,
R.D.H.
Sterling Heights, MI
1
DENTISTRY
Cynthia Joy Miller, R.D.H.
Shelby Township, MI
29-02-007752
01/15/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
29-02-007916
01/08/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
29-02-003909
01/15/2016
Reprimanded
Probation
Fine Imposed
Failure to Meet Cont. Ed.
Requirements
43-01-079394
01/21/2016
Summary Suspension
Criminal Conviction – Drug
Related
43-01-091708
02/14/2016
Fine Imposed
Sister State Disciplinary Action
Failure to Report/Comply
DENTISTRY
Michelle Rae Parker, R.D.H.
De Witt, MI
DENTISTRY
Heidi Alice Walkowiak, R.D.H.
Saint Clair Shores, MI
MEDICINE
Sam-Hussein Hassan Awada,
M.D.
Royal Oak, MI
MEDICINE
Brandon W Chan, M.D.
Mc Murray, PA
2
MEDICINE
Sara Christie, M.D.
La Porte, IN
43-01-093675
02/19/2016
Limited / Restricted
Fine Imposed
Sister State Disciplinary Action
Failure to Report/Comply
43-01-082782
02/14/2016
Suspended
Probation Violation
43-01-064652
01/15/2016
Reinstatement Granted –
Limited/Restricted
Probation
43-01-073200
02/19/2016
Limited / Restricted
Probation
Fine Imposed
Violation of General
Duty/Negligence
43-01-074778
02/19/2016
Fine Imposed
Violation of General
Duty/Negligence
MEDICINE
Aaron Scott Goldfein, M.D.
Swartz Creek, MI
MEDICINE
Jegan Jabez, M.D.
Berrien Springs, MI
MEDICINE
Ban Mechael, M.D.
Livonia, MI
MEDICINE
Amit Ramesh Mohindra, M.D.
Livonia, MI
3
MEDICINE
Rabia Qazi, M.D.
Marlton, NJ
43-01-104492
02/19/2016
Fine Imposed
Sister State Disciplinary Action
Failure to Report/Comply
43-01-070661
02/19/2016
Limited / Restricted
Probation
Fine Imposed
Negligence - Incompetence
Lack of Good Moral Character
Criminal Conviction
Failure to Report/Comply
Technical Violation of the
Michigan PHC
43-01-074356
02/19/2016
Fine Imposed
Violation of General
Duty/Negligence
43-01-037407
01/20/2016
Voluntarily Surrendered
Violation of General
Duty/Negligence
43-01-066204
02/14/2016
Suspended
Negligence - Incompetence
MEDICINE
Michele Renee Ritter, M.D.
Commerce Township, MI
MEDICINE
Anne Elisabeth Suess, M.D.
Mason, MI
MEDICINE
Kandarp K Vora, M.D.
Gladwin, MI
MEDICINE
Michael Henry Yff, M.D.
Harbor Springs, MI
4
NURSING
Lisa Marie Assadi, L.P.N.
Pontiac, MI
47-03-082902
02/18/2016
Probation
Fine Imposed
Negligence - Incompetence
47-04-270211
01/19/2016
Summary Suspension
Dissolved
Suspended
Violation of General
Duty/Impairment
Substance Use Disorder
Mental/Physical Inability to
Practice
Probation Violation
47-04-301827
02/18/2016
Suspended
Probation Violation
47-04-211755
01/22/2016
Summary Suspension
Violation of General
Duty/Impairment
Mental/Physical Inability to
Practice
Substance Use Disorder
NURSING
Shanell Nichole Boos, R.N.
Standish, MI
NURSING
Tia Joi Monique Daniel, R.N.
Detroit, MI
NURSING
Dominic Joseph DeMaggio,
R.N.
Rochester Hills, MI
NURSING
Alice Ann Kieft, L.P.N.
Nunica, MI
47-03-054418
01/19/2016
Summary Suspension
5
Violation of General Duty
Duty/Impairment
Mental/Physical Inability to
Practice
Drug Diversion
Probation Violation
NURSING
01/19/2016
Summary Suspension
Dissolved
Suspended
Fine Imposed
Violation of General
Duty/Impairment
Criminal Conviction
Lack of Good Moral Character
Drug Diversion
Failure to Report/Comply
47-04-284469
02/18/2016
Probation
Fine Imposed
Negligence - Incompetence
Lack of Good Moral Character
47-04-284392
01/19/2016
Summary Suspension
Dissolved
Suspended
Fine Imposed
Violation of General
Duty/Impairment
Substance Use Disorder
Mental/Physical Inability to
Practice
Drug Diversion
47-03-099281
01/19/2016
Summary Suspension
Dissolved
Suspended
Fine Imposed
Violation of General
Duty/Impairment
Drug Diversion
47-03-097639
02/18/2016
Probation
Fine Imposed
Negligence - Incompetence
Stephanie Marie Mayfield, R.N. 47-04-167920
Flint, MI
NURSING
Stephen Andrew Natushko,
R.N.
Chesterfield, MI
NURSING
Justin Michael Oliver, R.N.
Armada, MI
NURSING
Richard Jay Perkins, L.P.N.
Farmington Hills, MI
NURSING
Zelma Perry-Motley, L.P.N.
Westland, MI
6
NURSING
Kelly Lynne Pieper, L.P.N.
East China, MI
47-03-084658
01/19/2016
Suspended
Fine Imposed
Upon Automatic
Reinstatement –
Probation
Criminal Conviction - Alcohol
Related
Failure to Report/Comply
47-04-182594
01/19/2016
Summary Suspension
Dissolved
Suspended
Fine Imposed
Violation of General
Duty/Impairment
Substance Use Disorder
Mental/Physical Inability to
Practice
Drug Diversion
Failure to Report/Comply
Sarah Ann Vance, R.N., C.N.P. 47-04-241489
Belleville, MI
01/21/2016
Summary Suspension
Criminal Conviction - Drug
Related
01/19/2016
Summary Suspension
Dissolved
Suspended
Fine Imposed
Upon Automatic
Reinstatement –
Probation
Lack of Good Moral Character
Criminal Conviction - Drug
Related
Drug Diversion
Failure to Report/Comply
01/19/2016
Summary Suspension
Dissolved
Suspended
Fine Imposed
Violation of General
Duty/Impairment
Substance Use Disorder
Mental/Physical Inability to
Practice
Criminal Conviction - Alcohol
Related
NURSING
Carrie Lynn Tabone, R.N.
Melvindale, MI
NURSING
NURSING
Natsuko Michelle Vankirk, R.N. 47-04-222947
Howard City, MI
NURSING
Bethany Jane Young, R.N.,
L.P.N.
Ann Arbor, MI
47-04-295708
47-03-098243
7
OCCUPATIONAL THERAPIST
Jimmy D Colley, O.T.
Otisville, MI
52-01-005312
01/22/2016
Summary Suspension
Criminal Conviction - Drug
Related
68-01-065115
02/18/2016
Fine Imposed
Probation Violation
68-01-085389
02/18/2016
Summary Suspension
Dissolved
Revoked
Sexual Misconduct
Technical Violation of the
Michigan PHC
68-01-079594
01/19/2016
Suspended
Fine Imposed
Probation Violation
68-01-091724
01/19/2016
Reclassification Granted to
Full and Unlimited License
SOCIAL WORK
Elizabeth Suzanne Allweiss,
L.M.S.W., L.L.P.
Inkster, MI
63-01-006086
SOCIAL WORK
Susan Lee Clingerman,
L.M.S.W.
Mason, MI
SOCIAL WORK
Stanley Antoni Czech,
L.M.S.W.
Polska, Poland
SOCIAL WORK
Cynthia Lee Hilley, L.L.M.S.W.
Clarkston, MI
8
SOCIAL WORK
Lionel Alphonso King, L.M.S.W. 68-01-088249
Detroit, MI
02/18/2016
Suspended
Probation Violation
68-02-085609
02/18/2016
Probation
Fine Imposed
Negligence - Incompetence
Technical Violation of the
Michigan PHC
68-01-063867
01/19/2016
Reinstatement Denied
68-02-070175
01/19/2016
Reinstatement Granted –
Probation
68-03-085354
02/18/2016
Suspended
SOCIAL WORK
Michele Marie Livingston,
L.B.S.W.
Marlette, MI
SOCIAL WORK
Jo Ann McGhee, L.M.S.W.
Romulus, MI
SOCIAL WORK
Clifford Neal, Jr, L.B.S.W.
Oak Park, MI
SOCIAL WORK
Monifa Ceren Paige, S.S.T.
Redford, MI
9
Incompetence
Lack of Good Moral Character
Technical Violation of the
Michigan PHC
SOCIAL WORK
Roxanne Price-Donald,
L.M.S.W.
f/k/a Roxanne Haynes
Ypsilanti, MI
68-01-088453
01/19/2016
Reinstatement Granted –
Limited / Restricted
Probation
68-01-079627
02/18/2016
Probation
Fine Imposed
Negligence - Incompetence
Lack of Good Moral Character
Unprofessional Conduct
68-03-085581
02/18/2016
Suspended
Fine Imposed
Negligence - Incompetence
Lack of Good Moral Character
Technical Violation of the
Michigan PHC
68-01-066443
02/18/2016
Probation Violation
47-03-064983
Revoked
SOCIAL WORK
Angela F Scott, L.M.S.W.
Ypsilanti, MI
SOCIAL WORK
Audrey Lee Watkins, S.S.T.
Detroit, MI
SOCIAL WORK
Pamela A Witherell, L.M.S.W.,
L.P.N.
Muskegon, MI
Date Submitted: February 22, 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:
<http://www.michigan.gov/healthlicense>.
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