LICENSE STATUS CHANGES – MD

The following is a list of licenses that have become non-active within the last 90 days. Licenses may become non-active for a variety of reasons: failure to renew (expiration), surrender of license, suspension, revocation, or licensee-requested inactivation or cancellation.

This list only includes changes from active to non-active license status - if such a change to a license is subsequently reversed, that license will no longer be listed here. Please note the disclaimer below.

Should you wish more information on a licensee, click on their license number at the right. This will take you directly to their detailed profile page.

For help with terms and definitions please consult the Glossary.

License Status Changes: 02/21/2013 - 05/22/2013 (most recent first)

Licensee Name License Status Effective as of: Licensee City, State License No. Rose Wanping Liu, M.D. Expired 05/22/2013 South San Francisco, CA 34681 Michael Jay Ansfield, M.D. Expired 05/22/2013 Colorado Springs, CO 36404 Nathaniel Winer, M.D. Expired 05/22/2013 Brooklyn, NY 36472 Jeffrey Michael Burstein, M.D. Expired 05/22/2013   37612 Paul David Guisler, M.D. Expired 05/22/2013   41552 Kanwaljit Singh Kahlon, M.D. Expired 05/22/2013   43590 Aajay Natwerlal Shah, M.D. Expired 05/22/2013   46218 Benjamin Grant Schmidt, M.D. Expired 05/22/2013   44592 Roxana Fu, M.D. Expired 05/22/2013   46197 Wilson Philip Tong, M.D. Expired 05/21/2013   40846 Victor Zach, M.D. Expired 05/21/2013   44429 Edward Richard Schultz, M.D. Expired 05/21/2013   35787 Stephen Norman Blatt, M.D. Expired 05/20/2013   13407 Dong Hoon Lee, M.D. Expired 05/19/2013   42960 Louis Christopher Rivera, M.D. Expired 05/19/2013   43430 Sage Wexner, M.D. Expired 05/19/2013   46698 Barry Marshall Chuz, M.D. Expired 05/18/2013   10626 James Michael Thiel, M.D. Expired 05/17/2013   40536 Michael Hyun-Tae Lee, M.D. Expired 05/16/2013   32127 Lawrence John Dirksen, M.D. Expired 05/16/2013 Powell, WY 36532 Jack Barkin, M.D. Expired 05/16/2013 Toronto, ON 11942 Jana Kaida Silva, M.D. Expired 05/16/2013   46787 Ken Tuan Nguyen, M.D. Expired 05/16/2013   43663 Sara Ann Jackson-Vance, M.D. Expired 05/16/2013   44073 Marc Norman Manger, M.D. Inactive 05/16/2013   24242 Laura Marie Richardson, M.D. Expired 05/14/2013   41732 Maria de los Angeles Muniz, M.D. Expired 05/12/2013   41678 Zhi Qiang Xu, M.D. Expired 05/12/2013   42369 Stephen Ralph Russell, M.D. Expired 05/12/2013   19188 David Kevin Beato, M.D. Expired 05/12/2013   24150 Mary Kara Bucci, M.D. Expired 05/12/2013   45125 Kiran A Kulkarni, M.D. Expired 05/12/2013   43726 Jerome Cohn, M.D. Expired 05/11/2013   6149 Matthew Scott Wilson, M.D. Expired 05/11/2013   43339 Gregory Austin Garnes, M.D. Expired 05/10/2013   37387 James Ray Callison, M.D. Expired 05/10/2013   5787 Charles Andrew Everly, M.D. Expired 05/09/2013 Flagstaff, AZ 28130 Amir Aftab, M.D. Expired 05/08/2013   46527 Jack David Nestor, M.D. Expired 05/08/2013   5683 Nisar Ahmad, M.D. Expired 05/08/2013   35736 William Michael Sacks, M.D. Expired 05/07/2013 Green Valley, AZ 32792 Richard Scott Fayssoux, M.D. Expired 05/07/2013   27310 Jason Alexander Coe, M.D. Expired 05/07/2013   45884 Marcos Aurelio Menezes Dos Reis, M.D. Expired 05/06/2013 Brownsville, TX 11815 Mark-Friedrich Berthold Hurdle, M.D. Expired 05/05/2013   30392 Daniel Ernest Reid Beeaff, M.D. Expired 05/04/2013   11257 Tamara Starr Daniels, M.D. Expired 05/04/2013   44985 Robert G Darling, M.D. Expired 05/03/2013   44757 Daniel Lee Randolph, M.D. Expired 05/03/2013   21872 Kevin Eric Chapman, M.D. Expired 05/03/2013 Phoenix, AZ 35160 Emad Hashim Mohamed, M.D. Expired 05/02/2013   31562 Terry Thay-Lun Chan, M.D. Expired 05/02/2013   40481 Fadi Gebrail, M.D. Expired 05/02/2013   40538 Susan Elizabeth Favour, M.D. Expired 05/02/2013 Dallas, TX 24895 Krantinath Vishwambhar Raikhelkar, M.D. Expired 05/02/2013   14151 Gilberto Rene Gonzales, M.D. Expired 05/02/2013   11050 Hussein Naji Yassine, M.D. Expired 05/02/2013 Tucson, AZ 37272 Mario Eliseo Luna, M.D. Expired 05/02/2013   45150 Vincent Sveinn Parziale, M.D. Expired 05/01/2013   22850 Kerry Scott Teplinsky, M.D. Expired 05/01/2013   42872 Stewart Allen Slomowitz, M.D. Expired 05/01/2013 Sunrise, FL 36094 Dalton Finley Mc Clelland, M.D. Expired 05/01/2013   7586 Nga T Do, M.D. Expired 04/30/2013   28382 Caroline Ling-Wei Ho, M.D. Expired 04/30/2013   37066 Adam Garrett Suslak, M.D. Expired 04/30/2013   42547 Vanchi Ronnie Vu, M.D. Expired 04/30/2013   43825 Erlan Sericzhanuly Toulegenov, M.D. Expired 04/30/2013   44576 Kanae Mukai, M.D. Expired 04/29/2013   43316 Daniel Patrick Smith, M.D. Expired 04/29/2013   37025 Michael Kim Comstock, M.D. Expired 04/29/2013   29661 Gregory David Moss, M.D. Expired 04/29/2013 Chicago, IL 27655 Franchesca Carlene Estrada, M.D. Expired 04/28/2013   35509 Philip William Mack, M.D. Expired 04/28/2013   24449 Walter Leonard Wynne, M.D. Expired 04/28/2013   44942 Paula Touliopoulos, M.D. Expired 04/27/2013   23896 Kevin H Wang, M.D. Expired 04/27/2013   43091 Pamela Sue Peigh, M.D. Expired 04/26/2013   41303 Jeffrey Alan Kidd, M.D. Expired 04/26/2013 Oviedo, FL 29550 Helen Lucille Britton, M.D. Expired 04/26/2013 Lakewood, CO 12936 Monte Leroy Anderson, M.D. Expired 04/26/2013   16792 Hugo Rangel, M.D. Expired 04/25/2013   4789 Kenneth Alan Decarolis, M.D. Expired 04/25/2013   29929 Seymour Gerald Rife, M.D. Expired 04/24/2013   10586 Melvyn Anthony Feliciano, M.D. Expired 04/23/2013   41530 Betty Hadji Dinarte, M.D. Expired 04/23/2013   37257 Gal Gustav Margalit, M.D. Expired 04/23/2013   40996 Samuel Frederick Brunk, M.D. Expired 04/22/2013   41333 Humberto Manuel Rendon, M.D. Expired 04/22/2013   16214 Rama Krishna Maganti, M.D. Expired 04/22/2013 Phoenix, AZ 34195 Megan Beth Dixon, M.D. Expired 04/21/2013   40556 Ronald Schuyler Gooding, M.D. Expired 04/20/2013   5207 Jay Allen Boyer, M.D. Expired 04/20/2013   34551 Connie Swit-Lin Chan, M.D. Expired 04/20/2013   30337 William John Hyde, M.D. Expired 04/20/2013 Scottsdale, AZ 10905 Kathleen Esther Willard, M.D. Expired 04/19/2013 Flagstaff, AZ 16295 Barbara Jane Wyatt Taylor, M.D. Expired 04/19/2013 Granada, CO 17211 Michael Julian Weiner, M.D. Expired 04/19/2013   27437 Michel Lieven Gevaert, M.D. Expired 04/19/2013   28923 Mark Phillip Menolascino, M.D. Expired 04/19/2013   30277 David Paul Ushman, M.D. Expired 04/19/2013 Beaverton, OR 9691 Jennifer Dawn Cameron, M.D. Expired 04/19/2013   30064 Debra Deneese Lacy, M.D. Expired 04/19/2013   15638 Sunao Lynette Gilbert, M.D. Expired 04/18/2013   32816 Harmanjatinder Singh Sekhon, M.D. Expired 04/17/2013   36559 David Stewart Francom, M.D. Expired 04/17/2013   37976 Jose Saban, M.D. Expired 04/17/2013   10974 Charles William Kieser, M.D. Expired 04/17/2013   19421 Barry Berkowitz, M.D. Expired 04/17/2013   34276 Natalie Holmes Strand, M.D. Expired 04/16/2013   41968 Nataraj Shanmugam, M.D. Expired 04/16/2013   42869 Kevin Matthew Krcmarik, M.D. Expired 04/15/2013   41616 Ellen Aurora Middleton, M.D. Expired 04/15/2013   42139 John Peter Obermiller, M.D. Expired 04/15/2013   42475 Ann Margaret Kieran, M.D. Expired 04/15/2013   31414 Shawkat H. Kero, M.D. Expired 04/15/2013   36980 Eva Jeaneal Duckett, M.D. Expired 04/14/2013   36325 Michael Alan Schwartz, M.D. Expired 04/14/2013   32901 Daniel Bauer, M.D. Expired 04/14/2013   7802 Lucia Ridlen-Gonzalez, M.D. Expired 04/14/2013   40321 Linda Paige Slater-Myer, M.D. Expired 04/14/2013   31394 Arthur Neal Miller, M.D. Expired 04/13/2013   8895 Charles Patrick Nichols, M.D. Expired 04/13/2013   14358 Anthony Damaso Martin, M.D. Expired 04/12/2013 Worthington, OH 22394 Stanford Chin Lee, M.D. Expired 04/12/2013   30685 James L. Unger, M.D. Expired 04/12/2013   38118 Terry Wayne Lowry, M.D. Expired 04/12/2013   15838 Pei Hsuan Tsau, M.D. Expired 04/12/2013   29184 Stephen Foster Brint, M.D. Expired 04/12/2013 Metairie, LA 34919 John Willard Golden, M.D. Expired 04/12/2013   36704 Pankaj Anil Ksheersagar, M.D. Expired 04/12/2013   42712 Larry Dale Shaw, M.D. Expired 04/12/2013   3348 Paul William Kliewer, M.D. Expired 04/12/2013 Duncan, AZ 2914 Pavan Kumar Punukollu, M.D. Expired 04/12/2013 Lima, OH 29493 Charles Alan Thomas, M.D. Expired 04/12/2013   19091 Raymundo Federico Rosales, M.D. Expired 04/12/2013   22258 Sonita Kathleen Singh, M.D. Expired 04/12/2013   31940 Robert Thomas Fitzgerald, M.D. Expired 04/12/2013   34078 Frederic Darwin Zahn, M.D. Expired 04/12/2013   7219 Ronald Bert Joseph, M.D. Expired 04/12/2013 Phoenix, AZ 8699 Richard Wei Xiang Pan, M.D. Expired 04/12/2013   45157 Lakshmi Sundar Atri, M.D. Expired 04/12/2013   43227 David Wonhee Lee, M.D. Expired 04/12/2013   44617 Cesar Floreta Climaco, M.D. Expired 04/12/2013 Phoenix, AZ 15815 John I. Starr, M.D. Expired 04/12/2013 Paradise Valley, AZ 28846 Alexander Daniel Kovacs, M.D. Expired 04/12/2013   8789 Richard Dennis Wachter, M.D. Expired 04/12/2013   9918 Joseph Mirabile, M.D. Expired 04/12/2013 Tucson, AZ 9070 James Michael Dover, M.D. Expired 04/12/2013   11134 Sabrina Noel Wyatt, M.D. Expired 04/12/2013   40334 Tjong Dhiam Sie, M.D. Expired 04/12/2013 Glendale, AZ 5772 Patrick Allen Smith, M.D. Expired 04/12/2013   15062 Jesus Fernando Hernandez, M.D. Expired 04/12/2013   29091 George Martin Weitzner, M.D. Expired 04/12/2013   13686 Mehdi Ghazi-Askar, M.D. Expired 04/12/2013 Mesa, AZ 19065 Amy Catherine Rico, M.D. Expired 04/12/2013 Tucson, AZ 27737 Muhammad Babar Rajput, M.D. Expired 04/12/2013   27746 Laura Jean Honch, M.D. Expired 04/12/2013   26741 Frida Gerarda Surawicz, M.D. Expired 04/12/2013   15034 Daniel Gene Nehls, M.D. Expired 04/12/2013 Tacoma, WA 17213 Gary Lee Bonwell, M.D. Expired 04/12/2013   8640 Albert Jerviss Alter, M.D. Expired 04/12/2013   21527 Mazin Kasho Yaldo, M.D. Expired 04/12/2013 Dearborn Heights, MI 35811 Bradley Allen Jackson, M.D. Expired 04/12/2013   41677 Robert Campbell Lloyd, M.D. Expired 04/12/2013   4580 Theodore Ditchek, M.D. Expired 04/12/2013   4691 Reynaldo Almario Figueroa, M.D. Expired 04/12/2013   10290 Michael Jerome Hervey, M.D. Expired 04/12/2013   45042 Ahmet Onur Turek, M.D. Expired 04/12/2013 Phoenix, AZ 36399 Jerry Martin Held, M.D. Expired 04/12/2013   34233 David Allen Coolman, M.D. Expired 04/11/2013   45631 John Isidro Ibarra, M.D. Expired 04/11/2013   35943 Robert Clark Spain, M.D. Expired 04/10/2013   34666 Daniel Marion Asimus, M.D. Expired 04/09/2013   16826 Jimmy Chung-Shwun Huang, M.D. Expired 04/09/2013 Santa Monica, CA 40503 Andrew Kenneth Nash, M.D. Expired 04/09/2013   42663 Yugandhar Kandimalla, M.D. Expired 04/09/2013   45473 Mini Nutan Pathria, M.D. Expired 04/09/2013   46597 Angeline Katharine Sawicki, M.D. Expired 04/07/2013   46263 Faisal Abdus Sami, M.D. Expired 04/07/2013   35960 Renata Selak-Stankovic, M.D. Expired 04/07/2013 Phoenix, AZ 34370 Mary Elizabeth Landau-Levine, M.D. Expired 04/06/2013   27262 Jason Dennis Baron, M.D. Expired 04/06/2013   41927 Nancy Wingfield Darden Holland, M.D. Expired 04/05/2013 Nashville, TN 31359 Ulf Fritz Bredeek, M.D. Expired 04/05/2013   31728 Sarah Conley, M.D. Expired 04/05/2013   33941 Leila Ono-Malhado Todd, M.D. Expired 04/05/2013   36448 Rolf Petter Tonseth, M.D. Expired 04/04/2013   35032 Thomas Mark McIntosh, M.D. Expired 04/04/2013   41951 Mable S Jones, M.D. Expired 04/04/2013   45005 Laura Osborn Moody, M.D. Expired 04/02/2013   36362 Emily Bergitte Johnson Osborn, M.D. Expired 03/31/2013   37749 Adam Schwartz, M.D. Expired 03/31/2013   44890 Jeranfel Hernandez, M.D. Expired 03/30/2013   41890 Michael David Levis, M.D. Expired 03/29/2013   27336 Michael Elliot Granberry, M.D. Expired 03/29/2013   28676 Scott Lawrence Blumenthal, M.D. Expired 03/29/2013 Plano, TX 29423 Robert Gordon Denney, M.D. Expired 03/29/2013   29604 Amer Ahmad Alkhatib, M.D. Expired 03/28/2013   44370 Henry Dinh Do, M.D. Expired 03/28/2013   43930 Robert Mazet, M.D. Expired 03/28/2013 Paradise Valley, AZ 12869 Christopher Scott Cornelius, M.D. Expired 03/27/2013   42916 Adrienne Elizabeth Turner, M.D. Expired 03/25/2013   43901 Rasoul Scholz, M.D. Expired 03/25/2013   45441 Wassim Ibrahim Jawad, M.D. Expired 03/25/2013   44759 Navtej Singh Purewal, M.D. Expired 03/25/2013   21292 Saira Zafar Sheikh, M.D. Expired 03/25/2013   41602 Jeffrey Gordon Brown, M.D. Expired 03/24/2013   42716 Alfred Ken Sein, M.D. Expired 03/24/2013   42821 Victor R. Vaisbort, M.D. Expired 03/23/2013   27467 David John Fillmore, M.D. Expired 03/23/2013   15501 Marshall Ira Abel, M.D. Expired 03/22/2013 Saint David, AZ 28003 Ann O'Connor, M.D. Expired 03/22/2013 Tucson, AZ 31576 Angela Louise Henszel, M.D. Expired 03/21/2013   41188 Katrina Jean Enemark Lliteras, M.D. Expired 03/19/2013   45129 Frederic Neil Stimmell, M.D. Deceased 03/18/2013   4796 Edward Earl Rotan, M.D. Expired 03/18/2013   36877 Mark Robert Urban, M.D. Expired 03/18/2013 Tucson, AZ 38041 Mel Rea Meyer, M.D. Expired 03/17/2013   41381 Karen D'nese Ragland, M.D. Expired 03/17/2013   36146 Joseph Patrick Osterkamp, M.D. Expired 03/17/2013   17809 Gregory Glenn Nelson, M.D. Expired 03/16/2013 Tucson, AZ 31115 Cristina Sue Dunlop, M.D. Expired 03/16/2013   38175 David Keith Samanie, M.D. Expired 03/16/2013   44702 Keri Ann Hobert, M.D. Expired 03/15/2013   42507 Paul Hinkes, M.D. Expired 03/14/2013   42115 Harvey Hayes Sternberg, M.D. Expired 03/14/2013 Edmonton, AB 9255 Andrzej Jozef Slaski, M.D. Revoked 03/14/2013   6972 Nalini Catherine Nauth-Otello, M.D. Expired 03/13/2013   43914 Raymond Douglas Fowler, M.D. Expired 03/13/2013 Homer, AK 30104 Arshad Jahangir, M.D. Expired 03/13/2013   40652 Steven Jacob Temple, M.D. Expired 03/12/2013   14665 John Leonard Harrington, M.D. Expired 03/12/2013   12474 Michael Demetrios Mastakas, M.D. Expired 03/11/2013   13105 Mary Josephine Sarrantonio, M.D. Expired 03/11/2013   26472 Jeanne Marie Mc Gregor, M.D. Expired 03/10/2013   27650 David Brett Loran, M.D. Expired 03/09/2013   32342 Eric Lee-An Cherng, M.D. Expired 03/08/2013   44638 Rami Abboud, M.D. Expired 03/08/2013   46073 Paul Kenneth Branch, M.D. Expired 03/07/2013   45640 Derek Addison Duke, M.D. Expired 03/07/2013   36583 Ariel Albert Alicea, M.D. Expired 03/07/2013   41128 Eric Alan Gross, M.D. Expired 03/06/2013 Phoenix, AZ 29517 Jewel Dunamis Greywoode, M.D. Expired 03/06/2013   46492 Nicholas John Ordyna, M.D. Expired 03/06/2013   44948 Patrick Sheahan Nelson, M.D. Expired 03/05/2013   14701 Jerome Anthony Reichenberger, M.D. Inactive 03/04/2013   5606 Charles Hart Jenkins, M.D. Expired 03/03/2013   7815 David Philip Mullin, M.D. Expired 03/03/2013   44607 Jayanth Sanampudi, M.D. Expired 03/03/2013   44271 John Chao-Chun Lin, M.D. Expired 03/02/2013   43005 Harold Louis Rekate, M.D. Expired 03/02/2013   15074 Brian Keith Twedt, M.D. Expired 03/01/2013   32737 David Edward Jensen, M.D. Expired 03/01/2013   42443 Meenakshi Hari, M.D. Expired 03/01/2013   32833 Andrew Cronyn, M.D. Expired 03/01/2013   37482 Richard Angus Lochhead, M.D. Expired 03/01/2013   43851 Del Vern Steinbronn, M.D. Deceased 02/28/2013 Tucson, AZ 9570 Jeffrey Todd Mason, M.D. Expired 02/28/2013   44168 William Jeffery Sandborn, M.D. Expired 02/28/2013 Rochester, MN 21446 Thomas Michael O'Grady, M.D. Expired 02/28/2013   45118 Angeline An Chi Young, M.D. Expired 02/27/2013   40226 James William Vrabel, M.D. Deceased 02/26/2013   16788 Fahd Abdullah Chaudhry, M.D. Expired 02/26/2013   37450 Shailesh Shetty, M.D. Expired 02/25/2013   35621 Jasvant Adusumalli, M.D. Expired 02/25/2013   36618 James Allan Tamkin, M.D. Expired 02/25/2013 Redondo Beach, CA 9236 Charles Clark Daschbach, M.D. Expired 02/24/2013 Phoenix, AZ 12974 Charles Finley Pace, M.D. Expired 02/23/2013 Albuquerque, NM 26023 Sorin Alexandru Petre, M.D. Expired 02/23/2013   31500 Ana Magdalena Grau, M.D. Expired 02/23/2013 Nashville, TN 26531 Sahra Mariam Niazi, M.D. Expired 02/23/2013   44936 Kenneth Auburn Briggs, M.D. Expired 02/22/2013 Scottsdale, AZ 38087 Thomas Claiborne Waitz, M.D. Expired 02/22/2013   7083 John Ellis Conley, M.D. Expired 02/21/2013 Trinity, FL 23641

Disclaimer

The Arizona Medical Board presents this information as a service to the public. The Board relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee to provide erroneous information to the Board. The Board makes no warranty or guarantee concerning the accuracy or reliability of the content of this website or the content of any other website to which it may link. Assessing accuracy and reliability of the information obtained from this website is solely the responsibility of the user. The Board is not liable for errors or for any damages resulting from the use of the information contained herein.