Recent Actions | Status Changes

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: 07/03/2016 - 10/01/2016 (most recent first)
Licensee NameLicense StatusEffective as of:Licensee City, StateLicense No.
Kelly Ray Will, M.D.Expired09/30/2016 48904
Pratish Ajay Shah, M.D.Expired09/30/2016 48101
Anne Kristin Beasley, M.D.Expired09/29/2016 43030
Denis Lee Beaudoing, M.D.Expired09/29/2016 27386
David Seaman Colville, M.D.Expired09/28/2016 19142
Ben Carter Robinson, M.D.Expired09/28/2016 32119
Robert Nadol, M.D.Expired09/27/2016 34350
Daniel James Threat, M.D.Expired09/27/2016 43776
Garrett Graham Ward, M.D.Expired09/27/2016 49253
Sara Lacaria, M.D.Expired09/26/2016 48917
Steve Sanghoon Chung, M.D.Expired09/26/2016 30517
Ambrish Keshavchandra Dalal, M.D.Expired09/26/2016 37962
Craig Robert Metzger, M.D.Expired09/26/2016Phoenix, AZ12777
David Blaine Munce, M.D.Expired09/26/2016Sioux Falls, SD25416
Kutaiba Tabbaa, M.D.Expired09/25/2016 30276
Amit Mukesh Patel, M.D.Expired09/25/2016 49835
Siamak Amir Rahimi, M.D.Expired09/23/2016 26033
Robert Gaines Wilson, M.D.Inactive09/23/2016Carefree, AZ33518
Sudheer Penupolu, M.D.Expired09/22/2016 45744
Steven Marc Back, M.D.Expired09/21/2016 30855
Edward Michael Kasun, M.D.Expired09/21/2016 11043
Guy Clifton Cary, M.D.Deceased09/20/2016Sierra Vista, AZ19818
Stephanie Anne Freeman, M.D.Expired09/20/2016 47186
Troy Ayrrom Dowers, M.D.Expired09/19/2016 40816
Som Kohanzadeh, M.D.Expired09/19/2016 49833
Lirio Sarmiento Polintan, M.D.Expired09/19/2016 13146
Arpana Gopal Tewari, M.D.Renewal Deficient09/19/2016 40232
Maryam Sally Hadiashar, M.D.Expired09/18/2016 41054
William Stephen Gross, M.D.Expired09/17/2016 40456
Lance Ira Ray, M.D.Expired09/16/2016 24076
Natalie Christine Rodden, M.D.Expired09/16/2016 49998
George Thomas Bolton, M.D.Expired09/15/2016 43980
George Martin Zawadowski, M.D.Expired09/15/2016 47389
Amy Scamman Smith, M.D.Expired09/14/2016 23128
Christopher Michael Mileto, M.D.Expired09/13/2016 50139
Jeremiah Lukas Jeffers, M.D.Expired09/12/2016 50327
Michael Edmond Reardon, M.D.Expired09/12/2016 45929
Yusuf Tumuti Mathai, M.D.Expired09/12/2016 46593
Tracy Bialy Evans, M.D.Expired09/12/2016 42328
Quan Zhao, M.D.Expired09/11/2016 44688
Jorge Fernando Robles, M.D.Expired09/11/2016El Centro, CA24423
Heather Elizabeth Smith, M.D.Expired09/11/2016Glendale, AZ30698
Christine Tsu Norred Gal, M.D.Expired09/11/2016 34897
William Stanley Buchanan, M.D.Expired09/11/2016Sterling, CO8142
Nicholas James Soldo, M.D.Expired09/10/2016 8166
Toby C. Yaltho, M.D.Expired09/09/2016 42621
Eric Ernest Prommer, M.D.Expired09/09/2016Phoenix, AZ36088
Sirpa Annette Tavakoli, M.D.Expired09/08/2016 43976
Laurel Jacqueline Barr, M.D.Expired09/08/2016 48343
Robert Carl Williams, M.D.Expired09/07/2016 31354
James Robert Smith, M.D.Expired09/06/2016 34999
Gregory George White, M.D.Expired09/06/2016 42774
Merlin Wayne Kampfer, M.D.Expired09/06/2016Santa Fe, NM3185
Bruce London Weinberger, M.D.Expired09/06/2016 8341
Thomas Kenneth Murray, M.D.Expired09/05/2016 47516
David George Rockwell Balch, M.D.Expired09/04/2016 38051
Rebecca Anastasia Hill, M.D.Expired09/04/2016 32220
Enrico Joseph Stazzone, M.D.Expired09/04/2016Saint Louis, MO31283
William Nicholas Maniatis, M.D.Expired09/04/2016 18039
William Richard Shapiro, M.D.Expired09/02/2016Phoenix, AZ18783
Roger Earl Johnsonbaugh, M.D.Expired09/02/2016 23605
Mohammad Annaba, M.D.Expired09/02/2016 36105
Tuan-Anh Thi Nguyen, M.D.Expired08/31/2016 43683
Arun Dasgupta Sherma, M.D.Expired08/31/2016 33509
Ritu Cheema, M.D.Expired08/30/2016 44569
Gladston Randall Hackett, M.D.Expired08/30/2016 51069
Kenneth Bradford Mathis, M.D.Expired08/30/2016 27891
Constantine Audeh, M.D.Deceased08/29/2016 20953
Terry Allan Blair, M.D.Expired08/29/2016 11411
Chirag H Modi, M.D.Expired08/29/2016 46940
Baishali Bhattacharya, M.D.Expired08/29/2016 41392
Timothy Patrick Hoskins, M.D.Expired08/29/2016 44323
Arturo Magsino Ylagan, M.D.Expired08/29/2016 13264
Fred Edward Brickman, M.D.Expired08/28/2016 9896
Nauman Hamid, M.D.Expired08/28/2016 45660
Lance Edward Leclere, M.D.Expired08/28/2016 49011
George Randolph Edmonson, M.D.Expired08/27/2016 40949
Ronald Wayne Thomason, M.D.Expired08/27/2016 37022
Ajmal Aziz Sultan, M.D.Suspended E08/27/2016 46001
Gordon Lee Woods, M.D.Expired08/26/2016 32063
Leland Jay Jackson, M.D.Expired08/26/2016Camillus, NY18795
Eric James Noel, M.D.Deceased08/25/2016 34708
Gary Steven Christensen, M.D.Renewal Deficient08/24/2016 14081
Philip John DiGiacomo, M.D.Expired08/23/2016 50735
Peter David Holt, M.D.Expired08/22/2016 33504
Ellen Hope Siepser, M.D.Expired08/22/2016 42168
Paul Lewis Enright, M.D.Expired08/22/2016 20860
Robert Steven Burnstein, M.D.Expired08/21/2016 8997
Casey Kenneth Collins, M.D.Expired08/21/2016 43500
Michaela Hyunjoo Tong, M.D.Expired08/21/2016 31497
Ira Wayne Freilich, M.D.Expired08/21/2016 49733
Daniel Joseph Sedillo, M.D.Expired08/20/2016 29069
Mehdi Seyed Emam, M.D.Expired08/20/2016 49519
Thomas Patrick Belson, M.D.Expired08/19/2016Waukesha, WI8806
Adil R. Mazhar, M.D.Expired08/19/2016 31333
Neal Chhitu Patel, M.D.Expired08/19/2016 44232
Manar Al-Asad, M.D.Expired08/19/2016 49905
David John Sacco, M.D.Expired08/18/2016 46901
Joseph Vincent Missett, M.D.Deceased08/17/2016 37879
Steven Mark Gitt, M.D.Deceased08/17/2016Phoenix, AZ17134
Conrad Wittram, M.D.Expired08/17/2016 37056
William Marcus Brann, M.D.Expired08/17/2016 42943
Danny Lee Keiller, M.D.Expired08/16/2016San Diego, CA10959
Daniel Wee, M.D.Expired08/16/2016 48811
Gary Alan Hafer, M.D.Expired08/16/2016 12690
Matthew James Thompson, M.D.Expired08/15/2016 49007
Michael Jeffrey Trynosky, M.D.Expired08/15/2016Amarillo, TX25864
Rafael Nadim Mendoza, M.D.Suspended08/15/2016 27652
Kasra Attaran Rezaei, M.D.Expired08/14/2016 45861
Fernando Jose Torres Tondato, M.D.Expired08/13/2016 42997
Stephen Morrell Lantz, M.D.Expired08/12/2016 4947
Michael Joseph Ferenc, M.D.Expired08/12/2016 34550
Eldon Sherman Reed, M.D.Expired08/12/2016 5239
Kirk William Foster, M.D.Expired08/12/2016 48342
Nicholas James Kroll, M.D.Expired08/12/2016 50514
John Haastrup, M.D.Expired08/11/2016 37733
Carlo Meola, M.D.Expired08/11/2016 24543
Junyi Lei, M.D.Expired08/10/2016 40127
Yen-Yi Peng, M.D.Expired08/10/2016 50114
Franz Ricky Hinojosa, M.D.Expired08/10/2016 51412
Sarika Rohatgi, M.D.Expired08/09/2016 51149
Thomas Scott Spencer, M.D.Expired08/09/2016 41026
Sue Beruti, M.D.Expired08/09/2016 46300
Andrew Timothy Sledd, M.D.Expired08/09/2016 49252
Bradly Jon Narr, M.D.Cancelled08/08/2016Rochester, MN17491
Michael David Kirsch, M.D.Cancelled08/08/2016 40132
Richard William Casey, M.D.Cancelled08/08/2016 41134
Alan Scott Krimsley, M.D.Cancelled08/08/2016 13579
Mary Elizabeth King, M.D.Cancelled08/08/2016 24538
Colin Andrew Ross, M.D.Cancelled08/08/2016Richardson, TX31979
Lisa Nguyen Kransdorf, M.D.Cancelled08/08/2016 47273
Mark Masahiro Kumamoto, M.D.Cancelled08/08/2016Santa Ana, CA19231
Merri Beth Morris, M.D.Cancelled08/08/2016 16271
Richard Claude Huff, M.D.Cancelled08/08/2016 9982
Devyani Subhash Raval, M.D.Cancelled08/08/2016 19390
Charles Arthur Tommie Foreman, M.D.Cancelled08/08/2016 30951
Gregory Scott McNabb, M.D.Cancelled08/08/2016 46778
Carlos Alberto Ricotti, M.D.Expired08/08/2016Warren, OH30506
Oluwagbenga Serrano, M.D.Expired08/08/2016 29877
Ratan Dev Bhardwaj, M.D.Expired08/08/2016 44801
Scott Lindsay Mataoa, M.D.Expired08/08/2016 48759
James Alfred Schnur, M.D.Inactive08/08/2016Phoenix, AZ11405
Richard Lewis Donnerstein, M.D.Inactive08/08/2016 15414
William Louis Bunting, M.D.Inactive08/08/2016 3662
Sterling Wagner Simpson, M.D.Expired08/07/2016 45497
Barry David Birch, M.D.Expired08/07/2016Phoenix, AZ25717
Octavio Javier Vidal, M.D.Expired08/07/2016 32673
Gyoung Jae Park, M.D.Expired08/06/2016 34521
Michael Rooney Waldrum, M.D.Expired08/06/2016 47418
Jarron Israel Tilghman, M.D.Expired08/06/2016 47698
Jennifer Celesa Beaudreau, M.D.Cancelled08/05/2016 31002
Shakeel Aziz Kahn, M.D.Emergency Suspension08/05/2016 37896
Douglas Edward Borg, M.D.Expired08/05/2016 22498
Giuseppe Paul Tarulli, M.D.Expired08/05/2016Weston, ON21325
Janet Chie Nakamura, M.D.Expired08/05/2016 48379
Robert Michael Fisher, M.D.Expired08/05/2016 10123
Jose Antonio Sosa-Roche, M.D.Surrendered08/05/2016 18643
Edward Gilbert Blankstein, M.D.Surrendered08/05/2016Tempe, AZ10529
Bertrand Janne D'Othee, M.D.Cancelled08/04/2016 49768
Ned Stanley Stoughton, M.D.Cancelled08/04/2016 34791
Janice Bebe Dorn, M.D.Cancelled08/04/2016 15548
Gordon Silas Tekell, M.D.Deceased08/04/2016 7235
Ijaz Ibrahim Arshad, M.D.Deceased08/04/2016 45566
Peter D. Franklin, M.D.Deceased08/04/2016 28410
David Alan Rath, M.D.Deceased08/04/2016 17545
Kenneth Eugene Johnson, M.D.Deceased08/04/2016 7645
Rice Cowan Leach, M.D.Deceased08/04/2016 16050
Todd Edward Lang, M.D.Deceased08/04/2016 32370
Michael Rollin Manning, M.D.Deceased08/04/2016Tucson, AZ10137
Mohammad Yaseen Pathan, M.D.Expired08/04/2016 45377
Michael Stewart Spicer, M.D.Expired08/04/2016 25027
Ralph Charles Giorno, M.D.Expired08/04/2016 29917
Brian Emil Syska, M.D.Cancelled08/03/2016 42892
Anita P. Singh, M.D.Cancelled08/03/2016 24520
Joseph Sentef, M.D.Cancelled08/03/2016 46233
Craig Hampton Robson, M.D.Cancelled08/03/2016 49837
Kevin John Moore, M.D.Expired08/03/2016Zanesville, OH29955
Raoul Ben Berke, M.D.Expired08/03/2016 42780
Stanley Jerome Oliverius, M.D.Inactive08/03/2016 16120
Bryan Jeffrey Ebert, M.D.Expired08/02/2016 42421
Heidi A Kabler, M.D.Expired08/02/2016 42893
Peggy Anne Finston, M.D.Expired08/02/2016 14652
Annette My Ho, M.D.Expired08/02/2016 45390
Melvyn Alan Chase, M.D.Expired08/02/2016 8330
James Ross Taggart, M.D.Expired08/02/2016 35397
Diane Marie Park, M.D.Deceased08/01/2016 32107
David Price Kraft, M.D.Expired08/01/2016 43585
Sunil K Darbari, M.D.Expired08/01/2016 46416
Mandeep Kaur Kingra, M.D.Expired07/30/2016 43401
Thomas Mc Elroy Moote, M.D.Deceased07/29/2016Peoria, AZ13005
Rita Kapoor, M.D.Expired07/29/2016 48824
Heather Maude Linn, M.D.Expired07/29/2016 44881
Gary W. Langston, M.D.Expired07/28/2016 28907
Radha Inampudi, M.D.Expired07/28/2016 47371
Wenping Li, M.D.Expired07/28/2016 49580
Cynthia Marie Ripsin, M.D.Suspended E07/28/2016 48541
Preethi Sural, M.D.Expired07/27/2016 49689
Nicole Devon Johnson, M.D.Suspended E07/27/2016 45635
Marc Allen Sachs, M.D.Expired07/26/2016 45389
Huthayfa Afif Ateeli, M.D.Expired07/25/2016 49072
Thomas Eliot Bittker, M.D.Expired07/25/2016 7063
Harriet Kose Kayanja, M.D.Expired07/25/2016 46887
Saira J George, M.D.Expired07/24/2016 43245
John Joseph Houston, M.D.Expired07/24/2016 7442
Carol Lynn Barlow, M.D.Expired07/24/2016 16611
Spencer Scott Heaton, M.D.Expired07/23/2016 42957
Clifford Omar Brown, M.D.Expired07/23/2016Indio, CA37148
Christopher James Sorensen, M.D.Expired07/23/2016 46117
Wendy Anne Angelo, M.D.Expired07/23/2016 48304
Thomas J. La Placa, M.D.Expired07/22/2016 35856
Hani Hojjati, M.D.Expired07/22/2016 50756
Thomas Walter Bauch, M.D.Inactive07/22/2016 24557
Daniel Thomas Matulich, M.D.Cancelled07/21/2016 25349
David Ian Shapiro, M.D.Cancelled07/21/2016 22861
Shailesh Kumar Shankerbhai Patel, M.D.Cancelled07/21/2016 17376
John Randall Griffin, M.D.Cancelled07/21/2016 46997
Marla Anne Reckart, M.D.Cancelled07/21/2016 18709
Louis Joong Kim, M.D.Cancelled07/21/2016 35469
Sharon Steele Burton, M.D.Cancelled07/21/2016 47773
Howard Sherman, M.D.Expired07/21/2016 4601
Kevin David Gustafson, M.D.Expired07/21/2016Minneapolis, MN18448
Jean Raphael Schneider, M.D.Expired07/21/2016 44880
William Patrick Lawless, M.D.Inactive07/21/2016 25246
Jeffrey Earl Arnold, M.D.Inactive07/21/2016Cottonwood, AZ14852
John Lyle Jensen, M.D.Inactive07/21/2016 13293
Darryl Roland Stern, M.D.Inactive07/21/2016 7513
Maureen Elizabeth Mc Keighan Thompson, M.D.Inactive07/21/2016 15889
Milton Barry Randall, M.D.Expired07/20/2016 37537
Geoffrey Ansel Agrons, M.D.Expired07/19/2016 46950
Steven Schmidt, M.D.Expired07/18/2016 18140
Andrew Lewis Zak, M.D.Expired07/18/2016 44067
William Neelis Harrington, M.D.Expired07/18/2016 46384
Abbas Hussain A Alalawi, M.D.Expired07/17/2016 46895
Meekile Nathan Goya Mason, M.D.Expired07/17/2016 47729
David Lawrence Belding Eldredge, M.D.Expired07/17/2016 42612
Mina Magdy Zakhary, M.D.Expired07/17/2016 49633
David William Forest, M.D.Expired07/16/2016 27504
Andrea Michelle McGonigle, M.D.Expired07/15/2016 48648
Gaurav Tandon, M.D.Expired07/15/2016 40425
Don Charles Loomer, M.D.Expired07/15/2016 43944
Janis Bacon Petzel, M.D.Expired07/15/2016 47023
Echezona Anunobi, M.D.Expired07/15/2016 49707
Eileen McVey, M.D.Cancelled07/14/2016 47816
Marcia Hogeling, M.D.Expired07/13/2016 45620
Michael Robert Philipps, M.D.Expired07/13/2016 31626
William Samuel Stone, M.D.Expired07/12/2016 3626
Philip Burton Serlin, M.D.Expired07/12/2016 6383
Christopher David Nahm, M.D.Expired07/12/2016 11516
James William Melisi, M.D.Expired07/11/2016 43648
Imad Musa Al-Basha, M.D.Expired07/11/2016Rockford, IL16896
Charles Archibald Tompkins, M.D.Expired07/11/2016 6198
Patrick David Brady, M.D.Suspended E07/10/2016 45998
Kenneth Robert Fraser, M.D.Expired07/07/2016 7913
Jeffrey Shih-Wei Kuo, M.D.Expired07/07/2016 43950
Raymond Kuen Hung, M.D.Expired07/07/2016 35071
Alison Kara Adams, M.D.Expired07/06/2016 37373
Richard Lee Austin, M.D.Expired07/06/2016 49952
Rosa Ivelisse Colon Guzman, M.D.Expired07/05/2016 24405
Shannon Kathleen Gust, M.D.Expired07/04/2016 44887
Romeo Molo Abejuro, M.D.Expired07/04/2016 46866
Robert William Koepke, M.D.Suspended E07/04/2016 7706
Daniel Jonathan Brown, M.D.Expired07/03/2016 47621
Matthew Christian Niesen, M.D.Suspended E07/03/2016 48992

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.