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Compact/Multi-State Eligible

License Number 35.134040

City Dublin

State OH

Country

Board Action Yes

Board Action Details 05/13/2020 PROBATION TERMINATED - Doctor’s request for approval of release from the terms of the May 9, 2018 Consent Agreement, granted by vote of the Board on 5/13/2020. Release effective immediately. <br/> <br/>05/09/18 CONSENT AGREEMENT - License to practice medicine and surgery granted, provided he otherwise meets all statutory and regulatory requirements. Subject to general probationary terms, conditions and limitations for at least two years. Based on the doctor’s February 2018 application to practice medicine and surgery, wherein the doctor provided documentation to the Board that he has satisfied the Board’s recommendations contained within the Board’s August 2017 Order, to wit: that he has completed the reinstatement requirements as imposed by the Medical Licensing Board of Indiana in a 2016 Settlement Agreement and Final Order, and is currently in compliance with all probationary terms and conditions imposed therein and as imposed by the Fayette Circuit Court, Fayette County, Indiana. Agreement effective 5/9/2018. <br/> <br/>09/13/17 BOARD ORDER - Application for license to practice medicine and surgery denied. Based on the doctor’s plea of guilty in the Fayette Circuit Court, Fayette County, Indiana, to Conspiracy to Commit Forgery, a class C felony, to which he was sentenced to four years in prison, four years of probation, a $5,000 fine, and 1,000 hours of community service. Also based on a 2016 Settlement Agreement and Final Order with the Medical Licensing Board of Indiana, that indefinitely suspended the doctor's license, and issued a $4,000 fine. Order effective 9/14/17. <br/> <br/>04/12/2017: CITATION - Based on a plea of guilty and felony conviction in the Fayette County Circuit Court, Fayette County, Indiana, to Conspiracy to Commit Forgery, a class C felony; and on prior action by the Medical Licensing Board of Indiana which indefinitely suspended the doctor’s Indiana license. Notice of Opportunity for Hearing mailed 4/13/17.