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Document 1989068
STATE OF MICHIGAN
RICK SNYDER
GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MIKE ZIMMER
BUREAU OF HEALTH CARE SERVICES
DIRECTOR
MICHIGAN BOARD OF PHYSICAL THERAPY DISCIPLINARY SUBCOMMITTEE MEETING OF APRIL 14, 2015 APPROVED MINUTES In accordance with the Open Meetings Act, 1976, PA 267, as amended, the Michigan
Board of Physical Therapy Disciplinary Subcommittee met in regular session on
April 14, 2015, at the Ottawa Building, 611 West Ottawa Street, Upper Level Conference
Center, Conference Room 4, Lansing, Michigan.
CALL TO ORDER
Linda Minter, Chairperson, called the meeting to order at 2:44 p.m.
ROLL CALL
Members Present: Linda Minter, Public Member, Chairperson Mark Epolito, Public Member Brian Gilbert, PT Ajay Middha, P.T., D.P.T. Barbara Simmons, PTA Members Absent: None
Staff Present: Shellayne Grimes, Board Secretary, Policy, Rules & Board Support
Pamela Millben, Analyst, Compliance Section
Others Present: Vijay Kumar, DPT, Ph.D, MD
APPROVAL OF MINUTES
MOTION by Simmons, seconded by Middha, to approve the minutes of the January 13, 2015
meeting as presented.
LARA is an equal opportunity employer. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals \Vith disabilities. 611 W. OTTAWA ST.• P.O. BOX 30670 •LANSING, MICHIGAN 48909
www.michigan.gov/healthlicense • (517) 335-0918
Michigan Board of Physical Therapy
Disciplinary Subcommittee Meeting Minutes
April 14, 2015
Page 2 of 4
A voice vote followed.
MOTION PREVAILED
APPROVAL OF AGENDA
MOTION by Gilbert, seconded by Epolito, to approve the agenda with the following
correction: Grimes noted the removal of item 5. "Master Resolution."
A voice vote followed.
MOTION PREVAILED
REGULATORY CONSIDERATIONS
Jeff Philip Burke, P.T. - Consent Order and Stipulation
MOTION by Simmons, seconded by Middha, to accept the Consent Order and Stipulation, in the matter of Jeff Philip Burke, P.T. Discussion was held. A roll call vote followed:
Yeas - Epolito, Gilbert, Middha, Simmons, Minter MOTION PREVAILED
Robertus Hendrikus Sier, P.T. - Consent Order and Stipulation
MOTION by Simmons, seconded by Gilbert, to reject the Consent Order and Stipulation
and offer a counter-offer to add a course in Ethics to the terms of probation, in the matter
of Robertus Hendrikus Sier, P.T.
All other terms of the Consent Order and Stipulation to remain as written. Discussion was held. A roll call vote followed:
Yeas - Epolito, Gilbert, Middha, Simmons, Minter MOTION PREVAILED
Jordan David Stockman, P.T.A. - Consent Order and Stipulation
MOTION by Middha, seconded by Gilbert, to accept the Consent Order and Stipulation, in
the matter of Jordan David Stockman, P.T.A.
Michigan Board of Physical Therapy
Disciplinary Subcommittee Meeting Minutes
April 14, 2015
Page 3 of 4
Discussion was held.
A roll call vote followed:
Yeas - Epolito, Gilbert, Middha, Minter Simmons Recuse~
MOTION PREVAILED
Shahzad Iqbal Mirza, P.T. - Administrative Complaint
MOTION by Simmons, seconded by Middha, to dissolve the Order of Summary
· Suspension and suspend Respondent's license for a minimum of one (1) day until
Respondent undergoes an HPRP evaluation and enters into a monitoring agreement, if
needed, in the matter of Shahzad Iqbal Mirza, P.T.
Respondent's license shall be automatically reinstated when the Department receives
satisfactory evidence from the HPRP verifying either that (1) Respondent has entered into a
disciplinary confidential monitoring agreement with the HPRP and that the HPRP has
endorsed Respondent as safe to practice, or that (2) the HPRP has determined that
Respondent does not require treatment monitoring.
Upon automatic reinstatement, Respondent shall be placed on probation for one (1) year with
the following terms and conditions:
(1) Respondent shall be required to complete a minimum of three (3) credits of
continuing education in the following area:
a. Ethics
Respondent shall comply with the HPRP, as necessary.
Additionally, a fine shall be assessed in the amount of $250.00, payable prior to application
for reinstatement or relicensure.
·
Discussion was held.
A roll call vote followed:
Yeas - Epolito, Gilbert, Middha, Simmons, Minter
MOTION PREVAILED
PUBLIC COMMENT
None
Michigan Board of Physical Therapy Disciplinary Subcommittee Meeting Minutes April 14, 2015 Page 4 of 4 ANNOUNCEMENTS
The next regularly scheduled meeting will be held on July 14, 2015, immediately following
. the regularly scheduled Michigan Board of Physical Therapy meeting scheduled to begin
at 1:30 p.m. at the Ottawa Building, 611 West Ottawa Street, Upper Level Conference
Center (UL), Conference Room 4, Lansing, Michigan.
ADJOURNMENT
MOTION by Gilbert, seconded by Simmons, to adjourn the meeting at 3:21 p.m.
Date Minutes Approved
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Date Minutes Prepared
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